From the Chairman's Pen 03

From the President's Pen 05

The Public Health Foundation of India 09 ?Who We Are 10 ?Our Collaborations 21 National Collaborations International Collaborations The PHFI logo is an engaging representation symbolic of good health, happiness, positive energy, renewal and collaborative change. The sunflower The Year Gone by…. 27 symbolises Public Health, and its petals represent flowering of its multiple disciplines and coming together of all stakeholders to fulfill the common goal Thematic Areas of Focus of working towards a healthier India. Just as the sunflower turns to the sun for ?Capacity Building 31 life-giving light, PHFI seeks to invigorate the Indian health system by ?Health Systems, Policy and Finance 53 knowledge generation, dissemination and its application for action to ?Non-Communicable Diseases 73 advance public health. The spiral in the logo depicts the bud of knowledge ?Infectious Diseases 91 Women and Child Health 97 blossoming into the flower of action. Vibrant orange is the colour of vitality, ? ?Public Health Nutrition 103 white symbolises truth and green symbolises the harmonious relation to the ?Affordable Health Technology 113 environment. ?Social Determinants of Health 117

Publications 127

Financials From the Chairman's Pen 03

From the President's Pen 05

The Public Health Foundation of India 09 ?Who We Are 10 ?Our Collaborations 21 National Collaborations International Collaborations The PHFI logo is an engaging representation symbolic of good health, happiness, positive energy, renewal and collaborative change. The sunflower The Year Gone by…. 27 symbolises Public Health, and its petals represent flowering of its multiple disciplines and coming together of all stakeholders to fulfill the common goal Thematic Areas of Focus of working towards a healthier India. Just as the sunflower turns to the sun for ?Capacity Building 31 life-giving light, PHFI seeks to invigorate the Indian health system by ?Health Systems, Policy and Finance 53 knowledge generation, dissemination and its application for action to ?Non-Communicable Diseases 73 advance public health. The spiral in the logo depicts the bud of knowledge ?Infectious Diseases 91 Women and Child Health 97 blossoming into the flower of action. Vibrant orange is the colour of vitality, ? ?Public Health Nutrition 103 white symbolises truth and green symbolises the harmonious relation to the ?Affordable Health Technology 113 environment. ?Social Determinants of Health 117

Publications 127

Financials “Dream no small dreams for they have no power to move the hearts of men”

Johann Wolfgang von Goethe

1 2 “Dream no small dreams for they have no power to move the hearts of men”

Johann Wolfgang von Goethe

1 2 From The Chairman's Pen Management Program in two selected University of Hyderabad to offer a Master districts. The study will carry out formative degree in Public Health program. They The multitude of challenges that India faces policies in the country need to promote organizations, PHFI has carried out research and subsequently implement and continue to offer a large number of in the healthcare sector is threatening to public health beyond disease control and advocacy to achieve compliance with evaluate a multi-component, multi-level, postgraduate diplomas and distance impede its growth story. One in twenty of management. The need of the hour is to tobacco-control related laws. With support comprehensive intervention program to learning courses. our children die in the first year and almost cover the entire gamut of issues that impact from the Bill & Melinda Gates Foundation, improve the prevention, detection, and Let me take this opportunity to thank my all of these deaths are preventable. We are, good health. Public health is about enabling PHFI’s tobacco control unit has trained a management of diabetes and hypertension. colleagues on the Executive Committee for in fact, amongst the five countries in the the citizens of India to stay healthy and critical mass of people from two states. This Public awareness and education is being their guidance and support. We appreciate world which account for more than half of protecting them from threats to their critical mass comprised a diverse set of promoted via this program by using social the efforts of PHFI’s talented and the world’s under-five deaths. Nearly two health. In addition to healthcare services, individuals including medical officers, allied marketing strategies, targeted screening, committed staff who have delivered the in five children under five years of age in an effective public healthcare system health professionals, teachers, student peer tailored patient education, task-shifting to results described in this report. Special India are underweight by global standards. should provide improved sanitation, safe leaders and community representatives. A community health workers, healthcare congratulations are due to Dr K. Srinath With an estimated 2.2 million new cases, drinking water, food security and adequate study of the economics of tobacco-related provider training in evidence-based Reddy, President of PHFI, for his election as India accounts for about 1/5th of world’s nutrition. In other words, access to decent activities was also carried out. A short-term guidelines, quality improvement program, president of the World Heart Federation. TB cases. India is only second to China in living conditions, both in rural and urban distance education course was launched on use of low-cost m-health technology, and We also congratulate him for ably heading the number of diabetes cases with 1 in 8 areas is critical. Further, we also need to health promotion with a focus on tobacco advocacy to improve access to care. It is the Thematic Group on Health for All of adults having the risk of developing prevent excessive environment pollution control. PHFI partnered with the National expected that this comprehensive the United Nations Sustainable diabetes. and related accidents. We also need to Tobacco Control Program on issues related intervention program will not only improve Development Solutions Network which is healthcare outcomes but also provide key Mr. N R Narayana Murthy Clearly, we need a transformative approach actively promote women’s education and to implementation. An international providing technical support for the insights into care pathways that can likely Founder and Executive to overcome these challenges. Our public create awareness about the imperatives of conference on ‘Public Health Priorities in development of the post-2015 Sustainable good health. the 21st Century: The Endgame for be scaled up to improve diabetes and Development Goals of the UN. We Chairman, Infosys Technologies Ltd expenditure on healthcare is 1.2 percent of hypertension management in India. our GDP, one of the lowest in the world. The Public Health Foundation of India Tobacco’ was organized in September 2013 gratefully acknowledge the generous Experts estimate that India needs to (PHFI) is a public-private initiative in partnership with the Ministry of Health The access to health services, particularly in support from central and state increase its public expenditure to 2.5 established in 2006 to strengthen India’s and Family Welfare, Government of India rural areas, is poor and technological governments, national and international Chairman, PHFI July 2011 - October 2013 percent to 3 percent of its GDP for public health institutions and systems in and the World Health Organisation solutions are needed. PHFI has pioneered donors, and our partners. achieving universal healthcare coverage for order to achieve higher levels of awareness, (WHO). development of a tablet-based solution for Public health cannot be the responsibility of its citizens. While there is a pressing need and better health outcomes for all. I am In order to increase and build human point-of-care diagnostics, called Swasthya the government alone. It requires for more facilities, doctors, paramedics and pleased to present PHFI’s annual report for resource capabilities in diabetes Slate, which allows for a large number of involvement of civil society, private sector, nurses, there is also a need for adequate 2012-2013. As the report shows, PHFI’s management, PHFI initiated a unique tests to be carried out by a paramedical communities, and individuals. India needs services for prevention and effective activities during the year grew in scope and once-a-month training program. This worker at or near the home. a collective response from all these treatment of diseases. depth. program has trained nearly 3,000 primary PHFI has also collaborated with the stakeholders in order to realize its dream of These initiatives need to be duly Let me highlight a few achievements. and secondary care physicians over time Academy of Scientific and Innovative improved health and access to healthcare complemented by reform-focused policies and another 2,500 physicians are currently Research (AcSIR) to offer two M. Sc-PhD for one and all. Engendering such a PHFI’s work on tobacco-control illustrates a being trained. Recognizing the huge programs in Clinical Research and in response is not only the challenge before us in order to achieve the scale needed to comprehensive approach to a public health address the challenges at hand. Healthcare challenge of diabetes, PHFI is implementing Health Informatics and also with the but also our moral responsibility we owe to issue. In partnership with like-minded a Comprehensive Diabetes Prevention and our future generations. 3 4 From The Chairman's Pen Management Program in two selected University of Hyderabad to offer a Master districts. The study will carry out formative degree in Public Health program. They The multitude of challenges that India faces policies in the country need to promote organizations, PHFI has carried out research and subsequently implement and continue to offer a large number of in the healthcare sector is threatening to public health beyond disease control and advocacy to achieve compliance with evaluate a multi-component, multi-level, postgraduate diplomas and distance impede its growth story. One in twenty of management. The need of the hour is to tobacco-control related laws. With support comprehensive intervention program to learning courses. our children die in the first year and almost cover the entire gamut of issues that impact from the Bill & Melinda Gates Foundation, improve the prevention, detection, and Let me take this opportunity to thank my all of these deaths are preventable. We are, good health. Public health is about enabling PHFI’s tobacco control unit has trained a management of diabetes and hypertension. colleagues on the Executive Committee for in fact, amongst the five countries in the the citizens of India to stay healthy and critical mass of people from two states. This Public awareness and education is being their guidance and support. We appreciate world which account for more than half of protecting them from threats to their critical mass comprised a diverse set of promoted via this program by using social the efforts of PHFI’s talented and the world’s under-five deaths. Nearly two health. In addition to healthcare services, individuals including medical officers, allied marketing strategies, targeted screening, committed staff who have delivered the in five children under five years of age in an effective public healthcare system health professionals, teachers, student peer tailored patient education, task-shifting to results described in this report. Special India are underweight by global standards. should provide improved sanitation, safe leaders and community representatives. A community health workers, healthcare congratulations are due to Dr K. Srinath With an estimated 2.2 million new cases, drinking water, food security and adequate study of the economics of tobacco-related provider training in evidence-based Reddy, President of PHFI, for his election as India accounts for about 1/5th of world’s nutrition. In other words, access to decent activities was also carried out. A short-term guidelines, quality improvement program, president of the World Heart Federation. TB cases. India is only second to China in living conditions, both in rural and urban distance education course was launched on use of low-cost m-health technology, and We also congratulate him for ably heading the number of diabetes cases with 1 in 8 areas is critical. Further, we also need to health promotion with a focus on tobacco advocacy to improve access to care. It is the Thematic Group on Health for All of adults having the risk of developing prevent excessive environment pollution control. PHFI partnered with the National expected that this comprehensive the United Nations Sustainable diabetes. and related accidents. We also need to Tobacco Control Program on issues related intervention program will not only improve Development Solutions Network which is healthcare outcomes but also provide key Mr. N R Narayana Murthy Clearly, we need a transformative approach actively promote women’s education and to implementation. An international providing technical support for the insights into care pathways that can likely Founder and Executive to overcome these challenges. Our public create awareness about the imperatives of conference on ‘Public Health Priorities in development of the post-2015 Sustainable good health. the 21st Century: The Endgame for be scaled up to improve diabetes and Development Goals of the UN. We Chairman, Infosys Technologies Ltd expenditure on healthcare is 1.2 percent of hypertension management in India. our GDP, one of the lowest in the world. The Public Health Foundation of India Tobacco’ was organized in September 2013 gratefully acknowledge the generous Experts estimate that India needs to (PHFI) is a public-private initiative in partnership with the Ministry of Health The access to health services, particularly in support from central and state increase its public expenditure to 2.5 established in 2006 to strengthen India’s and Family Welfare, Government of India rural areas, is poor and technological governments, national and international Chairman, PHFI July 2011 - October 2013 percent to 3 percent of its GDP for public health institutions and systems in and the World Health Organisation solutions are needed. PHFI has pioneered donors, and our partners. achieving universal healthcare coverage for order to achieve higher levels of awareness, (WHO). development of a tablet-based solution for Public health cannot be the responsibility of its citizens. While there is a pressing need and better health outcomes for all. I am In order to increase and build human point-of-care diagnostics, called Swasthya the government alone. It requires for more facilities, doctors, paramedics and pleased to present PHFI’s annual report for resource capabilities in diabetes Slate, which allows for a large number of involvement of civil society, private sector, nurses, there is also a need for adequate 2012-2013. As the report shows, PHFI’s management, PHFI initiated a unique tests to be carried out by a paramedical communities, and individuals. India needs services for prevention and effective activities during the year grew in scope and once-a-month training program. This worker at or near the home. a collective response from all these treatment of diseases. depth. program has trained nearly 3,000 primary PHFI has also collaborated with the stakeholders in order to realize its dream of These initiatives need to be duly Let me highlight a few achievements. and secondary care physicians over time Academy of Scientific and Innovative improved health and access to healthcare complemented by reform-focused policies and another 2,500 physicians are currently Research (AcSIR) to offer two M. Sc-PhD for one and all. Engendering such a PHFI’s work on tobacco-control illustrates a being trained. Recognizing the huge programs in Clinical Research and in response is not only the challenge before us in order to achieve the scale needed to comprehensive approach to a public health address the challenges at hand. Healthcare challenge of diabetes, PHFI is implementing Health Informatics and also with the but also our moral responsibility we owe to issue. In partnership with like-minded a Comprehensive Diabetes Prevention and our future generations. 3 4 From The President's Pen

The journey of PHFI over the past year is Beyond the infrastructure, PHFI has created resulted in several scientific and policy division of PHFI has been developing highly Governance of PHFI was also strengthened presented in this concise annual report an expanding talent of multi-disciplinary related publications, many in high impact innovative technologies for increasing the last year with frequent meetings of the which also describes the distance covered technical staff comprising 90 faculty, 27 journals, we are even more motivated by outreach and effectiveness of primary Executive Committee and Finance, Audit, since its launch seven years ago. Let me lead researchers (who also teach part time) our mission to translate knowledge into health care. One of them, Swasthya Slate, Fund Raising, Nominations and begin by thanking all the members of and 67 full time researchers and 487 other action. PHFI has been designated by has been identified as a Game Changer by Compensation Sub-Committees of the PHFI’s General Body and Executive public health practitioners engaged in a WHO's Global Alliance for Health Systems India Today and has received requests for Executive Committee. Research and Committee, its several Advisory and Review wide variety of research or implementation and Policy Research as one of six Global supply from other national governments. Academic Advisory Councils as well as the Committees which guide the functioning of projects. The faculty development pathway Nodal Centres for strengthening research to PHFI, in partnership with Ministry of Institutional Ethics Committee have also PHFI and the individual Indian Institutes of ensures that many of the young faculty policy linkages in public health. During the Health, WHO and several Indian and been actively guiding our work. Public Health, the technical and advance to supported doctoral or post- past year, PHFI convened two consultations global organizations, organized an As this year end review comes up before administrative members of the PHFI family doctoral training in highly reputed global to create a sustainable platform for regular international conference on Public Health the General Body of PHFI, I woud like to and the many Indian and international academic institutions of public health interaction between the policy makers in Priorities for the 21st Century: Endgame for place on record my sincere thanks to Mr N partners who made this journey not only learning. Health Ministry and researchers from many Tobacco in September 2013. The R Narayana Murthy who is concluding his possible but also productive and pleasant. The past year has seen two MSc- PhD Indian academic institutions. conference, which was attended by 600 term as Chair of PHFI on October 15, There have been no passengers on this programmes commence as a collaborative Last year, PHFI was designated as the participants from 52 countries, was 2013. His vision and wisdom provided Prof. K. Srinath Reddy voyage, as every one of PHFI's core and effort of the partnership PHFI established technical support unit for strengthening the addressed by the Prime Minister, Health immense strength to PHFI, while ensuring extended family members has swung an with the Academy of Scientific & Innovative Routine Immunization programme of the Minister and Director General of WHO. A good governance. We feel privileged that President, PHFI oar with vigour and verve to swiftly steer Research (Academy of CSIR). A joint MPH Ministry of Health and Family Welfare. This global campaign ' No More Tobacco in 21st he will continue to be a part of the PHFI this ship ahead. This report reflects that programme has also been launched, as a is in addition to the technical support that Century (NMT 21C) was launched, which family even after he relinquishes the formal collective effort. joint venture with the University of PHFI has been providing to the National will feature former Indian cricket captain leadership of PHFI. PHFI now functions from Delhi, Hyderabad, a leading central university. HIV-AIDS Control Programme. PHFI is also Rahul Dravid as one of the Ambassadors. Gandhinagar, Hyderabad, Bhubaneswar, These join the four on-campus and five assisting the Health Ministry's plans to Earlier, PHFI also released a report on Plain Gwalior and Bengaluru through four IIPHs, distance education programmes which are enhance national capacity for allied health Packaging for tobacco products and two training centres and several research, part of PHFI's existing offerings in public professional training through creation of mobilized support of leading project and administrative offices. Its first health education. Research and new national and regional institutes. parliamentarians. Other awareness and permanent campus in Gandhinagar is implementation projects are addressing a Assistance is also being provided to State advocacy efforts include those related to under construction and will be ready by wide variety of knowledge generation and governments to develop public health Universal Health Coverage, Child Nutrition, mid-2014. The Hyderabad campus will knowledge translation needs across the cadres and pilot programmes for universal Child Rights, Disabilities, Diabetes, Mental soon commence construction. A fifth IIPH country. health coverage. Health, Women's Health and Gender in Shillong will be activated early next year. While the research conducted by PHFI has The Affordable Health Technologies Violence.

5 6 From The President's Pen

The journey of PHFI over the past year is Beyond the infrastructure, PHFI has created resulted in several scientific and policy division of PHFI has been developing highly Governance of PHFI was also strengthened presented in this concise annual report an expanding talent of multi-disciplinary related publications, many in high impact innovative technologies for increasing the last year with frequent meetings of the which also describes the distance covered technical staff comprising 90 faculty, 27 journals, we are even more motivated by outreach and effectiveness of primary Executive Committee and Finance, Audit, since its launch seven years ago. Let me lead researchers (who also teach part time) our mission to translate knowledge into health care. One of them, Swasthya Slate, Fund Raising, Nominations and begin by thanking all the members of and 67 full time researchers and 487 other action. PHFI has been designated by has been identified as a Game Changer by Compensation Sub-Committees of the PHFI’s General Body and Executive public health practitioners engaged in a WHO's Global Alliance for Health Systems India Today and has received requests for Executive Committee. Research and Committee, its several Advisory and Review wide variety of research or implementation and Policy Research as one of six Global supply from other national governments. Academic Advisory Councils as well as the Committees which guide the functioning of projects. The faculty development pathway Nodal Centres for strengthening research to PHFI, in partnership with Ministry of Institutional Ethics Committee have also PHFI and the individual Indian Institutes of ensures that many of the young faculty policy linkages in public health. During the Health, WHO and several Indian and been actively guiding our work. Public Health, the technical and advance to supported doctoral or post- past year, PHFI convened two consultations global organizations, organized an As this year end review comes up before administrative members of the PHFI family doctoral training in highly reputed global to create a sustainable platform for regular international conference on Public Health the General Body of PHFI, I woud like to and the many Indian and international academic institutions of public health interaction between the policy makers in Priorities for the 21st Century: Endgame for place on record my sincere thanks to Mr N partners who made this journey not only learning. Health Ministry and researchers from many Tobacco in September 2013. The R Narayana Murthy who is concluding his possible but also productive and pleasant. The past year has seen two MSc- PhD Indian academic institutions. conference, which was attended by 600 term as Chair of PHFI on October 15, There have been no passengers on this programmes commence as a collaborative Last year, PHFI was designated as the participants from 52 countries, was 2013. His vision and wisdom provided Prof. K. Srinath Reddy voyage, as every one of PHFI's core and effort of the partnership PHFI established technical support unit for strengthening the addressed by the Prime Minister, Health immense strength to PHFI, while ensuring extended family members has swung an with the Academy of Scientific & Innovative Routine Immunization programme of the Minister and Director General of WHO. A good governance. We feel privileged that President, PHFI oar with vigour and verve to swiftly steer Research (Academy of CSIR). A joint MPH Ministry of Health and Family Welfare. This global campaign ' No More Tobacco in 21st he will continue to be a part of the PHFI this ship ahead. This report reflects that programme has also been launched, as a is in addition to the technical support that Century (NMT 21C) was launched, which family even after he relinquishes the formal collective effort. joint venture with the University of PHFI has been providing to the National will feature former Indian cricket captain leadership of PHFI. PHFI now functions from Delhi, Hyderabad, a leading central university. HIV-AIDS Control Programme. PHFI is also Rahul Dravid as one of the Ambassadors. Gandhinagar, Hyderabad, Bhubaneswar, These join the four on-campus and five assisting the Health Ministry's plans to Earlier, PHFI also released a report on Plain Gwalior and Bengaluru through four IIPHs, distance education programmes which are enhance national capacity for allied health Packaging for tobacco products and two training centres and several research, part of PHFI's existing offerings in public professional training through creation of mobilized support of leading project and administrative offices. Its first health education. Research and new national and regional institutes. parliamentarians. Other awareness and permanent campus in Gandhinagar is implementation projects are addressing a Assistance is also being provided to State advocacy efforts include those related to under construction and will be ready by wide variety of knowledge generation and governments to develop public health Universal Health Coverage, Child Nutrition, mid-2014. The Hyderabad campus will knowledge translation needs across the cadres and pilot programmes for universal Child Rights, Disabilities, Diabetes, Mental soon commence construction. A fifth IIPH country. health coverage. Health, Women's Health and Gender in Shillong will be activated early next year. While the research conducted by PHFI has The Affordable Health Technologies Violence.

5 6 “Health is the first of all liberties.”

Henri Frederic Amiel

7 8 “Health is the first of all liberties.”

Henri Frederic Amiel

7 8 Our Values Working towards a healthier India Who We Are PHFI is a public private initiative Structured as an independent foundations including the Bill and Transparency launched in 2006 by the Prime Foundation and set up as a Society, Melinda Gates Foundation and the Minister Dr. Manmohan Singh as a PHFI is governed by an empowered Wellcome Trust. We work ! Uphold the trust of our multiple stakeholders and supporters response to emerging public health body comprising senior government collaboratively with all stakeholders in ! Honest, open and ethical in all we do, acting always with integrity challenges, with the aim of officials, eminent Indian and the health system. We provide strengthening public health capacity in international academic and scientific technical support and assistance to Impact the country. PHFI adopts a broad, leaders, civil society representatives central and state governments for V S on ! Link efforts to improving public health outcomes, knowledge to action integrative, multidisciplinary and multi and corporate leaders. It is informing and aiding governmental Our vision is to strengthen ! Responsive to existing and emerging public health priorities sectoral approach to public health, headquartered in New Delhi with initiatives. We engage with other India's public health tailoring its efforts to Indian conditions presence across India through its partners including the research Informed and engages with the many dimensions constituent units that include Indian community, academia, NGOs, civil institutional and systems of public health that encompass Institutes of Public Health and Centres society and media towards a collective capability and provide ! Knowledge based, evidence driven approach in all we do promotive, preventive and therapeutic of Excellence. action on health across sectors, and knowledge to achieve better ! Drawing on diverse and multi disciplinary expertise , open to services. Our belief is that healthcare in work with international agencies who innovative approaches health outcomes for all India ought to be addressed not only PHFI has received institution building support broader public health capacity Excellence from the scientific perspective of what support from Ministry of Health and building in India. Our aim is to play an works, but also from the social Family Welfare, several State enabling role in the transformation of ! Aim for highest standards in all aspects of our work perspective of who needs it the most. Governments, corporate leaders, India's health scenario. ! Encourage, recognise and celebrate our achievements Indian philanthropists and international M SS o n Independence ! Independent view and voice, based on research integrity & excellence >Developing the public ! Support academic and research freedom, contributing to public health workforce and health goals and interests setting standards Inclusiveness >Advancing public health ! Strive for equitable and sustainable development, working with research and technology communities >Strengthening knowledge ! Collaborate and partner with other public health organizations application and evidence- informed public health practice and policy 9 10 Our Values Working towards a healthier India Who We Are PHFI is a public private initiative Structured as an independent foundations including the Bill and Transparency launched in 2006 by the Prime Foundation and set up as a Society, Melinda Gates Foundation and the Minister Dr. Manmohan Singh as a PHFI is governed by an empowered Wellcome Trust. We work ! Uphold the trust of our multiple stakeholders and supporters response to emerging public health body comprising senior government collaboratively with all stakeholders in ! Honest, open and ethical in all we do, acting always with integrity challenges, with the aim of officials, eminent Indian and the health system. We provide strengthening public health capacity in international academic and scientific technical support and assistance to Impact the country. PHFI adopts a broad, leaders, civil society representatives central and state governments for V S on ! Link efforts to improving public health outcomes, knowledge to action integrative, multidisciplinary and multi and corporate leaders. It is informing and aiding governmental Our vision is to strengthen ! Responsive to existing and emerging public health priorities sectoral approach to public health, headquartered in New Delhi with initiatives. We engage with other India's public health tailoring its efforts to Indian conditions presence across India through its partners including the research Informed and engages with the many dimensions constituent units that include Indian community, academia, NGOs, civil institutional and systems of public health that encompass Institutes of Public Health and Centres society and media towards a collective capability and provide ! Knowledge based, evidence driven approach in all we do promotive, preventive and therapeutic of Excellence. action on health across sectors, and knowledge to achieve better ! Drawing on diverse and multi disciplinary expertise , open to services. Our belief is that healthcare in work with international agencies who innovative approaches health outcomes for all India ought to be addressed not only PHFI has received institution building support broader public health capacity Excellence from the scientific perspective of what support from Ministry of Health and building in India. Our aim is to play an works, but also from the social Family Welfare, several State enabling role in the transformation of ! Aim for highest standards in all aspects of our work perspective of who needs it the most. Governments, corporate leaders, India's health scenario. ! Encourage, recognise and celebrate our achievements Indian philanthropists and international M SS o n Independence ! Independent view and voice, based on research integrity & excellence >Developing the public ! Support academic and research freedom, contributing to public health workforce and health goals and interests setting standards Inclusiveness >Advancing public health ! Strive for equitable and sustainable development, working with research and technology communities >Strengthening knowledge ! Collaborate and partner with other public health organizations application and evidence- informed public health practice and policy 9 10 PHFI is working towards education, (SANCD), Centre for Mental Health ?Our training division was Governance training, research, policy & advocacy (CMH) and Ramalingaswami Centre established in 2008 with the aim of efforts and communication, cutting for Social Determinants of Health. bridging the gaps in quality and PHFI is an autonomously governed Research. Mr Mahindra is currently a across major disciplines of public More such Centres are under availability of services to people public private initiative registered as a member of several national level health. development on priority public from all strata of society. In the year Society under the Societies Registration initiatives including India Council for health themes. under review, we trained close to Act 1860. Under the governance Sustainable Development, India Design ?We currently have a network of 8,000 participants. structure adopted by the Society, the Council, National Institute of Design four Indian Institutes of Public ?Across PHFI, IIPHs and Centres of Foundation is governed by a fully and National Sports Development Health (IIPH) that have been Excellence, we have 90 highly ?The mission of our Health empowered, independent, General Fund. created with the vision of becoming qualified faculty, 94 fulltime Communication Division is to Body (comprising of all the members of benchmarks in teaching, training, researchers, and 487 technical staff Mr Mahindra is a firm believer in the catalyze direct outreach as well as the Society) that has representatives and research in the public health employed specifically for individual power of education. He initiated the to raise the technical educational from multiple constituencies - arena. In addition, two ancillary projects. From this pool, 83 hold content and profile of In its meeting on October 15, 2013, Nanhi Kali programme about two government, Indian and international centers at Bangalore and Gwalior PhDs. In addition, we have 55 communication and advocacy the Executive Committee and General decades ago to provide free education academia and scientific community, conduct academic programs. Their adjunct and visiting faculty. within the realm of public health. Body of PHFI unanimously elected Mr. to economically underprivileged girls in civil society and private sector. chief task is to educate and nurture Our core competencies include Anand Mahindra, Chairman and the country. He is a Trustee of the K.C. human resources in various public ?WHO has appointed PHFI as one health literacy and communication, The management of the affairs of the Managing Director of the Mahindra Mahindra Education Trust, which health domains, thus contributing of the Nodal Centers for Health education for capacity Society is entrusted to the Executive Group, as its next Chairperson. Mr. provides scholarships to students, and to overall national health goals. Policy and Systems Research enhancement, public health Committee, the governing body of Anand Mahindra succeeds Mr. N. R. is also onthe Board of Governors of the (HPSR). Our research projects are advocacy and policy analysis, PHFI that is elected by the Members of Narayana Murthy, Founder and Mahindra United World College of ?Our four Centres of Excellence interdisciplinary in nature on issues strategies and action plans, and the Society in accordance with the Executive Chairman of Infosys India. He is also a Life Trustee on the have been setup to raise awareness such as women and child health, human rights and legal literacy. Rules and Regulations. The Technologies Ltd., who had held the Board of Naandi Foundation. and strengthen research, training nutrition, communicable and non- Chairperson of the General Body also position since July 2011. and education in the high priority communicable diseases, mental Mr. Mahindra believes that a study of ?Our Health Systems Support Unit, chairs the Executive Committee. The areas of public health. These health, health systems and with a focus on implementation As a leading industry figure, liberal arts is essential in shaping President of the Society is a nonvoting, centers are Centre for Cardio- governance, and public health and practice, works towards Mr.Mahindra has earlier served as leaders of the future. He has given the ex-officio member of the Executive metabolic Risk Reduction in South financing. PHFI is also recognised strengthening healthcare related President of the Confederation of largest personal donation overseas by Committee and holds the position of Asia (CARRS), South Asia Centre for as a Scientific and Industrial initiatives by leveraging research, Indian Industry, President of the an Indian – an endowment of 10 the Member Secretary. Disability inclusive Development Research Organisation (SIRO) by education, advocacy, training, and Automotive Research Association of million USD to the Harvard and Research (SACDIR), South Asia the Department of Scientific and offering the required technical India (ARAI), member of Boards of the Humanities Center, which has been Network of Chronic Disease Industrial Research, Government of support to build, strengthen, and National`Stock Exchange of India and relaunched as the Mahindra India. sustain the public health delivery the National Council of Applied Humanities Center. system. Economic Research, and as a member of the Council of Scientific & Industrial

11 12 PHFI is working towards education, (SANCD), Centre for Mental Health ?Our training division was Governance training, research, policy & advocacy (CMH) and Ramalingaswami Centre established in 2008 with the aim of efforts and communication, cutting for Social Determinants of Health. bridging the gaps in quality and PHFI is an autonomously governed Research. Mr Mahindra is currently a across major disciplines of public More such Centres are under availability of services to people public private initiative registered as a member of several national level health. development on priority public from all strata of society. In the year Society under the Societies Registration initiatives including India Council for health themes. under review, we trained close to Act 1860. Under the governance Sustainable Development, India Design ?We currently have a network of 8,000 participants. structure adopted by the Society, the Council, National Institute of Design four Indian Institutes of Public ?Across PHFI, IIPHs and Centres of Foundation is governed by a fully and National Sports Development Health (IIPH) that have been Excellence, we have 90 highly ?The mission of our Health empowered, independent, General Fund. created with the vision of becoming qualified faculty, 94 fulltime Communication Division is to Body (comprising of all the members of benchmarks in teaching, training, researchers, and 487 technical staff Mr Mahindra is a firm believer in the catalyze direct outreach as well as the Society) that has representatives and research in the public health employed specifically for individual power of education. He initiated the to raise the technical educational from multiple constituencies - arena. In addition, two ancillary projects. From this pool, 83 hold content and profile of In its meeting on October 15, 2013, Nanhi Kali programme about two government, Indian and international centers at Bangalore and Gwalior PhDs. In addition, we have 55 communication and advocacy the Executive Committee and General decades ago to provide free education academia and scientific community, conduct academic programs. Their adjunct and visiting faculty. within the realm of public health. Body of PHFI unanimously elected Mr. to economically underprivileged girls in civil society and private sector. chief task is to educate and nurture Our core competencies include Anand Mahindra, Chairman and the country. He is a Trustee of the K.C. human resources in various public ?WHO has appointed PHFI as one health literacy and communication, The management of the affairs of the Managing Director of the Mahindra Mahindra Education Trust, which health domains, thus contributing of the Nodal Centers for Health education for capacity Society is entrusted to the Executive Group, as its next Chairperson. Mr. provides scholarships to students, and to overall national health goals. Policy and Systems Research enhancement, public health Committee, the governing body of Anand Mahindra succeeds Mr. N. R. is also onthe Board of Governors of the (HPSR). Our research projects are advocacy and policy analysis, PHFI that is elected by the Members of Narayana Murthy, Founder and Mahindra United World College of ?Our four Centres of Excellence interdisciplinary in nature on issues strategies and action plans, and the Society in accordance with the Executive Chairman of Infosys India. He is also a Life Trustee on the have been setup to raise awareness such as women and child health, human rights and legal literacy. Rules and Regulations. The Technologies Ltd., who had held the Board of Naandi Foundation. and strengthen research, training nutrition, communicable and non- Chairperson of the General Body also position since July 2011. and education in the high priority communicable diseases, mental Mr. Mahindra believes that a study of ?Our Health Systems Support Unit, chairs the Executive Committee. The areas of public health. These health, health systems and with a focus on implementation As a leading industry figure, liberal arts is essential in shaping President of the Society is a nonvoting, centers are Centre for Cardio- governance, and public health and practice, works towards Mr.Mahindra has earlier served as leaders of the future. He has given the ex-officio member of the Executive metabolic Risk Reduction in South financing. PHFI is also recognised strengthening healthcare related President of the Confederation of largest personal donation overseas by Committee and holds the position of Asia (CARRS), South Asia Centre for as a Scientific and Industrial initiatives by leveraging research, Indian Industry, President of the an Indian – an endowment of 10 the Member Secretary. Disability inclusive Development Research Organisation (SIRO) by education, advocacy, training, and Automotive Research Association of million USD to the Harvard and Research (SACDIR), South Asia the Department of Scientific and offering the required technical India (ARAI), member of Boards of the Humanities Center, which has been Network of Chronic Disease Industrial Research, Government of support to build, strengthen, and National`Stock Exchange of India and relaunched as the Mahindra India. sustain the public health delivery the National Council of Applied Humanities Center. system. Economic Research, and as a member of the Council of Scientific & Industrial

11 12 General Body Membership as on October 16, 2013

Mr. Anand G. Mahindra Mr. Uday Nabha Khemka Dr. Peter Piot Mr. Prashanth Vasu (Chairperson) Vice Chairman, SUN Group Director, London School of Hygiene & Partner, McKinsey & Company Sub-Committees PHFI Management Chairman and Managing Director, The following sub-committees aid the Dr. A. K. Shiva Kumar Tropical Medicine Team Mahindra & Mahindra Ltd. the functioning of the Executive Advisor, UNICEF Dr. Jagdish Prasad Executive Committee PHFI is organised as Program Divisions Dr. Montek Singh Ahluwalia Committee and General Body Director General of Health Services, Mr. Anand G. Mahindra (Chairperson) (Education, Research, Training, Health Deputy Chairman, Planning Mr. Gautam Kumra Audit Committee of the General Body Ministry of Health & Family Welfare, Dr. Montek Singh Ahluwalia Communication, Health Systems Commission, GOI Director, McKinsey & Company of PHFI GOI Dr. Abhay Bang Support), Constituent Units (Indian Dr. David Lynn Mr. Ashok Alexander Ms. Mirai Chatterjee Mr. T. N. Manoharan, Treasurer of PHFI Institutes of Public Health, Centres of Director, Strategic Planning & Policy, Mr. J. V. R. Prasada Rao GB (Chair) Director, Antara Foundation Mr. Keshav Desiraju Research), and Operations Divisions Wellcome Trust UN Secretary General Special Envoy Dr. Timothy G. Evans Dr. Abhay Bang for AIDS, Asia & the Pacific Dr. Timothy G. Evans Dr. David Lynn (Finance, HR, Infrastructure & Ms. Kiran Malhotra Mr. Uday Nabha Khemka Facilities, IT, Administration, Legal). All Founder and Director Prof. K. Srinath Reddy Mr. J. V. R. Prasada Rao Chairperson, AKM Systems Pvt. Ltd Dr. A. K. Shiva Kumar division/institute/function heads have a Society for Education, Action and President, Public Health Foundation of Finance and Investment Committee of Mr. Gautam Kumra final reporting to the President of the Research in Community Health Mr. T.N. Manoharan India the Executive Committee of PHFI (SEARCH) Founder Partner, Manohar Chowdhary Dr. David Lynn Foundation. & Associates Dr. Anil Seal Ms. Kiran Malhotra Mr. Gautam Kumra (Chair) Ms. Mirai Chatterjee Mr. Uday Nabha Khemka The President, as the head of the Director, Cambridge Commonwealth Dr. Raghunath A. Mashelkar Director, Social Security, Self Employed Dr. Raghunath A. Mashelkar Dr. A. K. Shiva Kumar Foundation, is assisted by Advisory Trust and Cambridge Overseas Trust Mr. J. V. R. Prasada Rao Women's Association (SEWA) CSIR Bhatnagar Fellow, National Mr. Harpal Singh Councils, Management Committees Dr. Amartya Sen Prof. K. Srinath Reddy Mr. Raj Mitta (invitee, as Chair of Dr. Lincoln Chen Chemical Laboratory and the Senior Management Team. Professor of Economics & Philosophy, Mr. Harpal Singh Fundraising Committee) Director of Global Equity Centre, Mr. Raj Mitta Harvard University KEY COUNCILS & COMMITTEES Harvard's Kennedy School Chairman, Essential Value Associates NOTE: Fundraising Committee of the Dr. Jaime Sepulveda Executive Committee of PHFI Dr. James W. Curran Pte. Ltd. The following are ex-officio members of PHFI has councils for academics and Executive Director, Global Health Mr. Raj Mitta (Chair) Dean, Rollins School of Public Health, Mr. N. R. Narayana Murthy the General Body: Secretary, MoHFW ; research, and an Institutional Ethics Sciences, University of California Ms. Kiran Malhotra Founder and Executive Chairman, Director General of Health Services, Committee. Additionally, each of the Emory University Dr. Anil Seal Mr. Raman Sharma MoHFW; Director General, Indian IIPHs have councils represented by Mr. Keshav Desiraju Infosys Technologies Ltd. Mr. Harpal Singh Senior Partner, AZB & Partners Council of Medical Research; and one academicians and state/regional Secretary, Ministry of Health & Family Mr. Shiv Nadar Mr. Gautam Kumra (invitee as Chair of representative from the office of the Prime representative members to provide Welfare, GOI Founder, HCL Mr. Michel Sidibé Finance and Investment Committee) Executive Director, UNAIDS Minister of India, as may be nominated by guidance. Dr. Timothy G. Evans Mr. T. K. A. Nair the PMO from time to time. Further, Mr. Harpal Singh Director for Health, Nutrition and Advisor, Prime Minister's Office Secretary, MoHFW is an ex-officio Chairman, Save the Children; Mentor Population, World Bank member of the Executive Committee. Dr. Ravi Narayan & Chairman Emeritus, Fortis Community Health Advisor, Society for Dr. Vishwa Mohan Katoch Healthcare (India) Limited Director General, Indian Council of Community Health Awareness, Medical Research Research & Action (SOCHARA)

13 14 General Body Membership as on October 16, 2013

Mr. Anand G. Mahindra Mr. Uday Nabha Khemka Dr. Peter Piot Mr. Prashanth Vasu Ms. Mirai Chatterjee (Chairperson) Vice Chairman, SUN Group Director, London School of Hygiene & Partner, McKinsey & Company Sub-Committees Mr. Keshav Desiraju Chairman and Managing Director, The following sub-committees aid the the Dr. A. K. Shiva Kumar Dr. A. K. Shiva Kumar Tropical Medicine Mahindra & Mahindra Ltd. functioning of the Executive Committee Mr. J. V. R. Prasada Rao Advisor, UNICEF Dr. Jagdish Prasad Executive Committee Dr. Montek Singh Ahluwalia and General Body Director General of Health Services, Mr. Anand G. Mahindra Deputy Chairman, Planning Mr. Gautam Kumra Audit Committee of the General Body of PHFI Management Ministry of Health & Family Welfare, (Chairperson) Commission, GOI Director, McKinsey & Company PHFI GOI Dr. Montek Singh Ahluwalia Team Dr. David Lynn Mr. T. N. Manoharan, Treasurer of PHFI GB Mr. Ashok Alexander Dr. Abhay Bang PHFI is organised as Program Divisions Director, Strategic Planning & Policy, Mr. J. V. R. Prasada Rao (Chair) Director, Antara Foundation Ms. Mirai Chatterjee Wellcome Trust UN Secretary General Special Envoy Dr. Timothy G. Evans (Education, Research, Training, Health Dr. Abhay Bang for AIDS, Asia & the Pacific Mr. Keshav Desiraju Dr. David Lynn Communication, Health Systems Ms. Kiran Malhotra Dr. Timothy G. Evans Founder and Director Prof. K. Srinath Reddy Mr. J. V. R. Prasada Rao Support), Constituent Units (Indian Chairperson, AKM Systems Pvt. Ltd Mr. Uday Nabha Khemka Society for Education, Action and President, Public Health Foundation of Finance and Investment Committee of Institutes of Public Health, Centres of Dr. A. K. Shiva Kumar Research in Community Health Mr. T.N. Manoharan India the Executive Committee of PHFI Research), and Operations Divisions (SEARCH) Founder Partner, Manohar Chowdhary Mr. Gautam Kumra (Finance, HR, Infrastructure & Mr. Gautam Kumra (Chair) & Associates Dr. Anil Seal Dr. David Lynn Facilities, IT, Administration, Legal). All Ms. Mirai Chatterjee Mr. Uday Nabha Khemka Director, Cambridge Commonwealth Ms. Kiran Malhotra Director, Social Security, Self Employed Dr. Raghunath A. Mashelkar Dr. A. K. Shiva Kumar division/institute/function heads have a Trust and Cambridge Overseas Trust Dr. Raghunath A. Mashelkar Women's Association (SEWA) CSIR Bhatnagar Fellow, National Mr. Harpal Singh final reporting to the President of the Chemical Laboratory Dr. Amartya Sen Mr. J. V. R. Prasada Rao Mr. Raj Mitta (invitee, as Chair of Foundation. Dr. Lincoln Chen Professor of Economics & Philosophy, Prof. K. Srinath Reddy Fundraising Committee) The President, as the head of the Director of Global Equity Centre, Mr. Raj Mitta Harvard University Mr. Harpal Singh Harvard's Kennedy School Chairman, Essential Value Associates Fundraising Committee of the Executive Foundation, is assisted by Advisory Dr. Jaime Sepulveda NOTE: Committee of PHFI Councils, Management Committees Dr. James W. Curran Pte. Ltd. Executive Director, Global Health Mr. Raj Mitta (Chair) and the Senior Management Team. Dean, Rollins School of Public Health, Mr. N. R. Narayana Murthy The following are ex-officio members Sciences, University of California Ms. Kiran Malhotra Founder and Executive Chairman, of the General Body: Secretary, Emory University Dr. Anil Seal KEY COUNCILS & COMMITTEES Mr. Raman Sharma MoHFW ; Director General of Health Mr. Keshav Desiraju Infosys Technologies Ltd. Mr. Harpal Singh Senior Partner, AZB & Partners Services, MoHFW; Director General, PHFI has councils for academics and Secretary, Ministry of Health & Family Mr. Shiv Nadar Mr. Gautam Kumra (invitee as Chair of Indian Council of Medical Research; research, and an Institutional Ethics Welfare, GOI Founder, HCL Mr. Michel Sidibé Finance and Investment Committee) and one representative from the office Committee. Additionally, each of the Executive Director, UNAIDS Nomination and Compensation Dr. Timothy G. Evans Mr. T. K. A. Nair of the Prime Minister of India, as may Mr. Harpal Singh Committee of the Executive Committee IIPHs have councils represented by Director for Health, Nutrition and Advisor, Prime Minister's Office be nominated by the PMO from time Chairman, Save the Children; Mentor of PHFI academicians and state/regional Population, World Bank Dr. Ravi Narayan to time. Further, Secretary, MoHFW is representative members to provide & Chairman Emeritus, Fortis Mr. Anand G. Mahindra (Chair) Community Health Advisor, Society for an ex-officio member of the Executive Dr. Vishwa Mohan Katoch Healthcare (India) Limited Dr. Montek Singh Ahluwalia guidance. Director General, Indian Council of Community Health Awareness, Committee. Medical Research Research & Action (SOCHARA)

13 14 Dr. Indrani Gupta Dr. Tulsi Patel School of Public Health, Emory PHFI's Academic Advisory Council Professor & Head, Health Policy Professor, Sociology, Delhi School of University Comprising renowned academicians and government representatives. Research Unit, Institute of Economic Economics Dr. Nikhil Tandon Growth Dr. C. Venkata S Ram Professor, Department of Dr. Abraham Joseph (Chair) London School of Hygiene and Dr. Amarjeet Singh Prof. Prabhat Jha Chief Executive Officer, Medicity Endocrinology and Metabolism, All Director, Karigiri Leprosy Hospital Tropical Medicine Additional Secretary, Teacher Professor, University of Toronto Chair Institute of Medical Sciences India Institute of Medical Sciences, Education, Ministry of Human in Disease Control Dr. Usha Ramakrishnan New Delhi Dr. Anurag Agrawal Dr. Timothy G. Evans Resource Development, GOI Prof. J P Muliyil Associate Professor, Hubert Principal Scientist, CSIR Institute of Director, Health, Nutrition and Professor , Community Health, Department of Global Health, Rollins Genomics and Integrative Biology Population, World Bank Dr. Gita Sen Christian Medial College Professor, Centre for Public Policy, Dr. Shalini Bharat Dr. P Padmanabhan Indian Institute of Management, Professor, Centre for Health and Social Advisor, Public Health Administration, Bangalore Sciences, Tata Institute of Social National Health Systems Resource Institutional Ethics Committee Sciences Centre (NHSRC), MoHFW Dr. H. Sudarshan Founder and Honorary Secretary, Dr. Pat Doyle Dr. S. Shanbhag Provides guidance and promotes ethical conduct in research, ensuring research subjects are Professor, Department of Non- Former President, Indian Association of Karuna Trust not put to risk and researchers get full benefits of their research. communicable Disease Epidemiology, Occupational Health Prof. Ranjit Roy Chaudhury (Chair) Dr. Prema Ramachandran Prof. Ramanan Laxminarayan Chairman, Task Force for Research, Director, Nutrition Foundation of India Vice President, Research and Policy, PHFI PHFI's Research Advisory Council Apollo Hospitals Educational and Dr. Siddarth Ramji Prof. Sanjay Zodpey Advises on our research agenda and sets the standard for high quality and relevant research Research Foundation Head, Department of Neonatology, Director, Public Health Education, PHFI Ms. Anjani Aiyagari Maulana Azad Medical College and Director, IIPH-Delhi Dr. Barry Bloom (Chair) Dr. Shally Awasthi Dr. Nilanjan Chatterjee Advocate-on-record, Supreme Court of Harvard University Distinguished President, Indian Clinical Epidemiology Senior Investigator & Chief, Biostatistics Dr Nikhil Tandon Prof. Lalit Dandona India Service Professor and Joan L. and Julius Network Branch, Division of Cancer Professor, Department of Distinguished Research Professor , H. Jacobson Professor of Public Health Prof. Kalpana Balakrishnan Epidemiology & Genetics, National Mr. Vinod Bhanu Endocrinology and Metabolism, All PHFI Prof. Rifat Atun Professor & Director, ICMR Center for Cancer Institute Executive Director, Centre For Legislative India Institute of Medical Sciences, Dr. N. Nakkeeran Professor, International Health Advanced Research on Environmental Dr. N. K. Ganguly Research and Advocacy New Delhi Associate Professor, IIPH- Management and Head, Health Health, WHO Collaborating Center for Distinguished Biotechnology Research Dr. Tulsi Patel Dr. Rajani Ved Occupational and Environmental Gandhinagar Management Group, Imperial College Professor, National Institute of Professor of Sociology, Delhi School of Advisor, Community Process , National Health, Sri Ramachandra University London Immunology Economics Health Systems Resource Centre, National Institute of Health & Family Welfare

15 16 Dr. Indrani Gupta Dr. Tulsi Patel School of Public Health, Emory PHFI's Academic Advisory Council Professor & Head, Health Policy Professor, Sociology, Delhi School of University Comprising renowned academicians and government representatives. Research Unit, Institute of Economic Economics Dr. Nikhil Tandon Growth Dr. C. Venkata S Ram Professor, Department of Dr. Abraham Joseph (Chair) London School of Hygiene and Dr. Amarjeet Singh Prof. Prabhat Jha Chief Executive Officer, Medicity Endocrinology and Metabolism, All Director, Karigiri Leprosy Hospital Tropical Medicine Additional Secretary, Teacher Professor, University of Toronto Chair Institute of Medical Sciences India Institute of Medical Sciences, Education, Ministry of Human in Disease Control Dr. Usha Ramakrishnan New Delhi Dr. Anurag Agrawal Dr. Timothy G. Evans Resource Development, GOI Prof. J P Muliyil Associate Professor, Hubert Principal Scientist, CSIR Institute of Director, Health, Nutrition and Professor , Community Health, Department of Global Health, Rollins Genomics and Integrative Biology Population, World Bank Dr. Gita Sen Christian Medial College Professor, Centre for Public Policy, Dr. Shalini Bharat Dr. P Padmanabhan Indian Institute of Management, Professor, Centre for Health and Social Advisor, Public Health Administration, Bangalore Sciences, Tata Institute of Social National Health Systems Resource Institutional Ethics Committee Sciences Centre (NHSRC), MoHFW Dr. H. Sudarshan Founder and Honorary Secretary, Dr. Pat Doyle Dr. S. Shanbhag Provides guidance and promotes ethical conduct in research, ensuring research subjects are Professor, Department of Non- Former President, Indian Association of Karuna Trust not put to risk and researchers get full benefits of their research. communicable Disease Epidemiology, Occupational Health Prof. Ranjit Roy Chaudhury (Chair) Dr. Prema Ramachandran Prof. Ramanan Laxminarayan Chairman, Task Force for Research, Director, Nutrition Foundation of India Vice President, Research and Policy, PHFI PHFI's Research Advisory Council Apollo Hospitals Educational and Dr. Siddarth Ramji Prof. Sanjay Zodpey Advises on our research agenda and sets the standard for high quality and relevant research Research Foundation Head, Department of Neonatology, Director, Public Health Education, PHFI Ms. Anjani Aiyagari Maulana Azad Medical College and Director, IIPH-Delhi Dr. Barry Bloom (Chair) Dr. Shally Awasthi Dr. Nilanjan Chatterjee Advocate-on-record, Supreme Court of Harvard University Distinguished President, Indian Clinical Epidemiology Senior Investigator & Chief, Biostatistics Dr Nikhil Tandon Prof. Lalit Dandona India Service Professor and Joan L. and Julius Network Branch, Division of Cancer Professor, Department of Distinguished Research Professor , H. Jacobson Professor of Public Health Prof. Kalpana Balakrishnan Epidemiology & Genetics, National Mr. Vinod Bhanu Endocrinology and Metabolism, All PHFI Prof. Rifat Atun Professor & Director, ICMR Center for Cancer Institute Executive Director, Centre For Legislative India Institute of Medical Sciences, Dr. N. Nakkeeran Professor, International Health Advanced Research on Environmental Dr. N. K. Ganguly Research and Advocacy New Delhi Associate Professor, IIPH- Management and Head, Health Health, WHO Collaborating Center for Distinguished Biotechnology Research Dr. Tulsi Patel Dr. Rajani Ved Occupational and Environmental Gandhinagar Management Group, Imperial College Professor, National Institute of Professor of Sociology, Delhi School of Advisor, Community Process , National Health, Sri Ramachandra University London Immunology Economics Health Systems Resource Centre, National Institute of Health & Family Welfare

15 16 Advisory Council of Advisory Council of Governing Council of IIPH-Delhi IIPH-Hyderabad IIPH-Gandhinagar Prof. Shantha Sinha Professor, Political Science, Name Designation Ex-officio position Principal Secretary, (Health), Name Designation (Chair) University of Hyderabad Government of Chhattisgarh Selection of Chairperson underway Mr. J.V.R Prasada UN Secretary General Special Envoy Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Rao (Chair) for AIDS, Asia & the Pacific Government of Andhra Pradesh Ex-officio position Principal Secretary (Finance), Government of Jharkhand Ex-officio position MD, National Rural Health Mission, Ex-officio position Principal Secretary (Finance), Government Government of Gujarat \ Ex-officio position Principal Secretary (Finance), Government of India of Andhra Pradesh Ex-officio position Principal Secretary (Health), Government of Odisha Ex-officio position Principal Secretary (Finance), Ex-officio position Principal Secretary (Health), Government Government of Gujarat Ex-officio position Principal Secretary (Health), Government of Delhi of Karnataka Ex-officio position Commissioner (Health), Government of Odisha Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Government Government of Gujarat Ex-officio position Principal Secretary (Health), Government of Delhi of Kerala Ex-officio position Principal Secretary Government of West Bengal Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Government (Education), Government of Mr. Ashok Alexander Director, Antara Foundation Government of Haryana of Tamil Nadu Gujarat Prof. Surabhi Banerjee Vice Chancellor, Central Ex-officio position Principal Secretary (Health), Dr. A. K. Shiva Kumar Advisor, UNICEF Ms. Mirai Chatterjee Director, Social Security, Self Government of Rajasthan University of Orissa, Koraput Dr. Raghunath CSIR Bhatnagar Fellow, National Chemical Employed Women's Dr. Abhay Bang Founder & Director, Society for Prof. Rama V. Baru Professor, Centre of Social Medicine A. Mashelkar Laboratory Association (SEWA) and Community Health, Jawaharlal Education, Action and Research Mr. Raj Mitta Chairman, Essential Value Associates Pte. Ltd. Mr. Gautam Kumra Director, McKinsey & in Community Health (SEARCH) Nehru University Company Dr. Ch. Mohan Rao Director, Centre for Cellular & Molecular Prof. B. S. Garg Director, Professor & Dean, Mahatma Ms. Mirai Chatterjee Director, Social Security, Self Biology, Hyderabad Prof. K. Srinath Reddy President , PHFI Gandhi Institute of Medical Sciences Employed Women's Association Dr. A. Padma Raju Vice Chancellor, Acharya N.G. Ranga Prof. Dileep Mavalankar Director, IIPH-Gandhinagar (SEWA) Prof. David Chairman, Health Protection Agency, Agricultural University Dr. Timothy G. Evans Director, Health, Nutrition and Heymann London Dr. I. V. Rao Vice Chancellor, NTR University of Health Population, World Bank Dr. Arvind Pandey Director, National Institute of Medical Sciences Mr. P.K. Hota Director, Norway India Statistics, ICMR Advisory Council of Dr. Gullapalli N Rao Chair, Hyderabad Eye Institute Partnership Initiative Prof. N.K. Sethi Professor & Head, Department of Planning Dr. Pratap Bhanu President, Centre for Policy & Evaluation, National Institute of Health Prof. K. C. Reddy Chairman, Rajiv Education & Employment IIPH, Bhubaneswar Mehta Research and Family Welfare Mission of Andhra Pradesh Name Designation Dr. Ramakant Panda Vice Chairman and Chief Prof. K. Srinath President, PHFI Prof. Geeta Dean, School of Medical Sciences, Selection of Chairperson underway Cardiovascular Thoracic Surgeon, Reddy K. Vemuganti University of Hyderabad Ex-officio position Principal Secretary (Health), Asian Heart Institute, Mumbai Prof. Sanjay Director, IIPH-Delhi and Director, Prof. K. Srinath Reddy President, PHFI Government of Bihar Prof. K. Srinath Reddy President , PHFI Zodpey Public Health Education, PHFI Prof. G. V. S. Murthy Director, IIPH-Hyderabad Dr. Subhash Salunke Director, IIPH Bhubaneswar 17 18 Advisory Council of Advisory Council of Governing Council of IIPH-Delhi IIPH-Hyderabad IIPH-Gandhinagar Prof. Shantha Sinha Professor, Political Science, Name Designation Ex-officio position Principal Secretary, (Health), Name Designation (Chair) University of Hyderabad Government of Chhattisgarh Selection of Chairperson underway Mr. J.V.R Prasada UN Secretary General Special Envoy Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Rao (Chair) for AIDS, Asia & the Pacific Government of Andhra Pradesh Ex-officio position Principal Secretary (Finance), Government of Jharkhand Ex-officio position MD, National Rural Health Mission, Ex-officio position Principal Secretary (Finance), Government Government of Gujarat \ Ex-officio position Principal Secretary (Finance), Government of India of Andhra Pradesh Ex-officio position Principal Secretary (Health), Government of Odisha Ex-officio position Principal Secretary (Finance), Ex-officio position Principal Secretary (Health), Government Government of Gujarat Ex-officio position Principal Secretary (Health), Government of Delhi of Karnataka Ex-officio position Commissioner (Health), Government of Odisha Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Government Government of Gujarat Ex-officio position Principal Secretary (Health), Government of Delhi of Kerala Ex-officio position Principal Secretary Government of West Bengal Ex-officio position Principal Secretary (Health), Ex-officio position Principal Secretary (Health), Government (Education), Government of Mr. Ashok Alexander Director, Antara Foundation Government of Haryana of Tamil Nadu Gujarat Prof. Surabhi Banerjee Vice Chancellor, Central Ex-officio position Principal Secretary (Health), Dr. A. K. Shiva Kumar Advisor, UNICEF Ms. Mirai Chatterjee Director, Social Security, Self Government of Rajasthan University of Orissa, Koraput Dr. Raghunath CSIR Bhatnagar Fellow, National Chemical Employed Women's Dr. Abhay Bang Founder & Director, Society for Prof. Rama V. Baru Professor, Centre of Social Medicine A. Mashelkar Laboratory Association (SEWA) and Community Health, Jawaharlal Education, Action and Research Mr. Raj Mitta Chairman, Essential Value Associates Pte. Ltd. Mr. Gautam Kumra Director, McKinsey & in Community Health (SEARCH) Nehru University Company Dr. Ch. Mohan Rao Director, Centre for Cellular & Molecular Prof. B. S. Garg Director, Professor & Dean, Mahatma Ms. Mirai Chatterjee Director, Social Security, Self Biology, Hyderabad Prof. K. Srinath Reddy President , PHFI Gandhi Institute of Medical Sciences Employed Women's Association Dr. A. Padma Raju Vice Chancellor, Acharya N.G. Ranga Prof. Dileep Mavalankar Director, IIPH-Gandhinagar (SEWA) Prof. David Chairman, Health Protection Agency, Agricultural University Dr. Timothy G. Evans Director, Health, Nutrition and Heymann London Dr. I. V. Rao Vice Chancellor, NTR University of Health Population, World Bank Dr. Arvind Pandey Director, National Institute of Medical Sciences Mr. P.K. Hota Director, Norway India Statistics, ICMR Advisory Council of Dr. Gullapalli N Rao Chair, Hyderabad Eye Institute Partnership Initiative Prof. N.K. Sethi Professor & Head, Department of Planning Dr. Pratap Bhanu President, Centre for Policy & Evaluation, National Institute of Health Prof. K. C. Reddy Chairman, Rajiv Education & Employment IIPH, Bhubaneswar Mehta Research and Family Welfare Mission of Andhra Pradesh Name Designation Dr. Ramakant Panda Vice Chairman and Chief Prof. K. Srinath President, PHFI Prof. Geeta Dean, School of Medical Sciences, Selection of Chairperson underway Cardiovascular Thoracic Surgeon, Reddy K. Vemuganti University of Hyderabad Ex-officio position Principal Secretary (Health), Asian Heart Institute, Mumbai Prof. Sanjay Director, IIPH-Delhi and Director, Prof. K. Srinath Reddy President, PHFI Government of Bihar Prof. K. Srinath Reddy President , PHFI Zodpey Public Health Education, PHFI Prof. G. V. S. Murthy Director, IIPH-Hyderabad Dr. Subhash Salunke Director, IIPH Bhubaneswar 17 18 “Alone we can do so little, together we can do so much.”

Helen Keller

19 20 “Alone we can do so little, together we can do so much.”

Helen Keller

19 20 1 Andhra Pradesh 6 Maharashtra Health, Jawaharlal Nehru 13 Uttarakhand ?Government of Andhra Pradesh ?Federation of Obstetric and University; Program for Appropriate ?Government of Uttarakhand ?Science Health Allied Research Gynaecological Societies of India Technology in Health, Indian National Collaborations Council of Medical Research; Education ?Association of Physicians of India 14 National Human Rights Commission; Rajasthan ?National Institute of Nutrition ?Government of Maharashtra HCL Corporation; National Rural ?Government of Rajasthan ?George Institute for Global Health – ?Indian Cancer Society Health Mission; Nehru Trust for ?Birla Institute of Technology & India ?Mahatma Gandhi Institute of Cambridge University; National Science ?Society for Elimination of Rural Medical Sciences Health Systems Resource Centre; Poverty ?School of Health Systems Studies Science Health Allied Research 15 Tamil Nadu 12 ?Pushpagiri Vitreo Retina Institute ?Interdisciplinary School of Health Education; The Asia Foundation; ?Indian Clinical Epidemiology ?University of Hyderabad Sciences - University of Pune Planning Commission; Population Foundation of India; Medical Network Council of India; National Institute ?Tamil Nadu Health Systems Project 2 Goa 7 Meghalaya of Communicable Diseases; National ?Christian Medical College ?Sangath ?Government of Meghalaya 10 Vector Borne Disease Control ?Jawaharlal Institute of Post Graduate 13 Program; National Institute of Health Medical Education and Research 3 Gujarat 8 New Delhi and Family Welfare; Central Council 8 ?Government of Gujarat ?Government of NCT of Delhi; for Research in Unani Medicine; 17 16 Jharkhand ?All India Institute of Diabetes and Ministry of Health and Family Medical Council of India; ?Government of Jharkhand 14 Research Welfare; National Board of Government of Delhi; Government of India; INCLEN Trust 7 ?Child Health Foundation; Self Examination; Academy of Scientific International; Child in Need Employed Women's Association & Innovative Research; Council of 17 Sikkim Scientific and Industrial Research ; ?Health Care Human Services 11 18 Confederation on Indian Industry; 9 Odisha &Family Welfare Department 16 4 Karnataka 3 Federation of Indian Chambers of ?Central University of Odisha ?Government of Sikkim ?Government of Karnataka Commerce and Industry; TERI ?Government of Orissa ?Centre for Public Health and Equity University; Voluntary Organization 18 2 (CPHE) in Interest of Consumer Education; Madhya Pradesh 9 ?Manipal Academy for Higher International Clinical Epidemiology 10 Punjab ?Government of Madhya Pradesh Network Trust; Indian Medical ?Government of Punjab 6 Education ?Akshara Foundation Association College of General Practitioners; National AIDS Control ?Sri Devaraj Urs Academy of Higher 11 West Bengal Organization; Institute for Studies in Education and Research Industrial Development; ?Child in Need institute India, All 1 International Center for Genetic India Institute of Hygiene and 5 Kerala Engineering and Biotechnology; Public Health ?Government of Kerala Consortium for Trade and 4 ?National rural health mission Development; Indian National 12 Jammu and Kashmir ?Sree Chitra Tirunal Institute for Science Academy, Ministry of ?State Health Society 15 Medical Sciences and Technology Science and Technology; Centre for Social Medical and Community 5 The list includes institutes/organizations who are supporting us or working with us on public health issues including project activity. This list is not comprehensive. 21 22 1 Andhra Pradesh 6 Maharashtra Health, Jawaharlal Nehru 13 Uttarakhand ?Government of Andhra Pradesh ?Federation of Obstetric and University; Program for Appropriate ?Government of Uttarakhand ?Science Health Allied Research Gynaecological Societies of India Technology in Health, Indian National Collaborations Council of Medical Research; Education ?Association of Physicians of India 14 National Human Rights Commission; Rajasthan ?National Institute of Nutrition ?Government of Maharashtra HCL Corporation; National Rural ?Government of Rajasthan ?George Institute for Global Health – ?Indian Cancer Society Health Mission; Nehru Trust for ?Birla Institute of Technology & India ?Mahatma Gandhi Institute of Cambridge University; National Science ?Society for Elimination of Rural Medical Sciences Health Systems Resource Centre; Poverty ?School of Health Systems Studies Science Health Allied Research 15 Tamil Nadu 12 ?Pushpagiri Vitreo Retina Institute ?Interdisciplinary School of Health Education; The Asia Foundation; ?Indian Clinical Epidemiology ?University of Hyderabad Sciences - University of Pune Planning Commission; Population Foundation of India; Medical Network Council of India; National Institute ?Tamil Nadu Health Systems Project 2 Goa 7 Meghalaya of Communicable Diseases; National ?Christian Medical College ?Sangath ?Government of Meghalaya 10 Vector Borne Disease Control ?Jawaharlal Institute of Post Graduate 13 Program; National Institute of Health Medical Education and Research 3 Gujarat 8 New Delhi and Family Welfare; Central Council 8 ?Government of Gujarat ?Government of NCT of Delhi; for Research in Unani Medicine; 17 16 Jharkhand ?All India Institute of Diabetes and Ministry of Health and Family Medical Council of India; ?Government of Jharkhand 14 Research Welfare; National Board of Government of Delhi; Government of India; INCLEN Trust 7 ?Child Health Foundation; Self Examination; Academy of Scientific International; Child in Need Employed Women's Association & Innovative Research; Council of 17 Sikkim Scientific and Industrial Research ; ?Health Care Human Services 11 18 Confederation on Indian Industry; 9 Odisha &Family Welfare Department 16 4 Karnataka 3 Federation of Indian Chambers of ?Central University of Odisha ?Government of Sikkim ?Government of Karnataka Commerce and Industry; TERI ?Government of Orissa ?Centre for Public Health and Equity University; Voluntary Organization 18 2 (CPHE) in Interest of Consumer Education; Madhya Pradesh 9 ?Manipal Academy for Higher International Clinical Epidemiology 10 Punjab ?Government of Madhya Pradesh Network Trust; Indian Medical ?Government of Punjab 6 Education ?Akshara Foundation Association College of General Practitioners; National AIDS Control ?Sri Devaraj Urs Academy of Higher 11 West Bengal Organization; Institute for Studies in Education and Research Industrial Development; ?Child in Need institute India, All 1 International Center for Genetic India Institute of Hygiene and 5 Kerala Engineering and Biotechnology; Public Health ?Government of Kerala Consortium for Trade and 4 ?National rural health mission Development; Indian National 12 Jammu and Kashmir ?Sree Chitra Tirunal Institute for Science Academy, Ministry of ?State Health Society 15 Medical Sciences and Technology Science and Technology; Centre for Social Medical and Community 5 The list includes institutes/organizations who are supporting us or working with us on public health issues including project activity. This list is not comprehensive. 21 22 Our International Collaborations research, MacArthur Foundation, 1 Africa: The African Development Bank 10 Germany: University of Bonn; London School of Hygiene & Tropical National Institutes of Health, CBM;University of Heidelberg Medicine, Newcastle University, Royal Occupational Knowledge International, 2 Australia: Nossal Institute for Global Colleges of Physicians of the United Packard Foundation Rockefeller Health - University of Melbourne; 11 Italy: World Food Programme Kingdom, The Royal Commonwealth Foundation, Rollins School of Public AusAID; Deakin University; University Society for the Blind, UK Department for 12 Mexico: National Institute of Public Health (Emory University) State of Queensland, University of Sydney – Health of Mexico International Development, University School of Public Health, George College London, University of Aberdeen, University of New York, The World 13 Nepal: B P Koirala Institute of Health Bank Group, Tides Foundation, Tulane Institute for International Health University of Bristol, University of 14 9 Science Cambridge, University of Edinburgh, University – School of Public Health & 2 3 Bangladesh: International Centre for University of Glasgow, University of Leeds, Tropical Medicine, UNICEF,United 16 Norway: Norwegian Ministry of 5 Diarrheal Diseases 14 University of Liverpool, University of 7 10 Nations, University of Alabama at, 19 15 Foreign Affairs, Norway India London, University of Oxford - Division of 4 17 4 Belgium: European Commission, Birmingham – School of Public Health, 8 Partnership Initiative Public Health and Primary Health Care, Institute of Tropical Medicine, University of Albany – School of Public20 11 Wellcome Trust 15 Netherlands: Erasmus Medical Centre, Health, University of California, 6 5 Canada: University of Manitoba; 21 KIT Royal Tropical Institute, Vrije 20 United States of America: Amar University of Illinois – School of Public 13 University of Alberta; McMaster University Foundation, American India Health, University of Medicine and 3 University; Population Health Research Foundation, Association of Schools of Dentistry, University of Michigan, 12 Institute; Simon Fraser University; 16 Sweden: Swedish National Institute of Public Health,Bates College, Bill and University of Minnesota – School of International Development Research Public Health; Swedish International 1 18 Melinda Gates Foundation, Boston Public Health, University of North Centre; British Columbia Institute of Development Agency University, California Institute for Carolina- School of Public Health, Technology; Population Health 17 Switzerland International Centre : Telecommunication & Information University of Pittsburgh – School of Research Institute, University of Cointrin, Aga Khan Foundation, World Tech UCSD, CEDPA,Cornell University, Public Health, University of South Manitoba, McGill University, Centre Health Organisation, The Global Fund Department of Public Health,Duke Florida – School of Public Hospitalier affilie Universitaire de to Fight AIDS, Tuberculosis and University, EcoHealth Alliance, Health,University of Texas – Health 2 Quebec, University of Toronto- Centre Malaria. World Heart Federation Emerging Market Group,Fogarty Science Centre,University of for Global Health Research, York University of Laussane International Centre, Ford Foundation, Washington,USAID,Vanderbilt University, International Development 18 Phillipines University of Phillipines Georgetown University Medical University,Weill Cornell Medical Research Centre, : Centre,Give2Asia,Harvard 19 United Kingdom: BUPA Foundation, College – Cornell University,World 6 China: China Medical Board Cambridge Commonwealth Trust, Humanitarian Initiative, Harvard Justice Project - American Bar School of Public Health, Institute for 7 Denmark: University of Copenhagen, Cambridge Malaysian Education and Association,Yale University,Yeshiva Faculty of Health Sciences Development Trust, College of Medicine Health Policy, Institute of Public Health University 8 and Veterinary Medicine, Faculty of Public Sciences Albert Einstein College, 21 Pakistan: The Aga Khan University France: Centre Hospitalier affilie Health, Health Protection Agency, Imperial Intrahealth International, John Hopkins Universitaire de Quebec College, Institute of Psychiatry, International Bloomberg School of Public Health 9 Centre for Eye Health, King's College, Finland: National Public Health Lifespan-Tufts-Brown Centre for AIDS The list includes institutes/organizations who are supporting us or working Liverpool School of Tropical Medicine, with us on public health issues including project activity. Institute This list is not comprehensive.

23 24 Our International Collaborations research, MacArthur Foundation, 1 Africa: The African Development Bank 10 Germany: University of Bonn; London School of Hygiene & Tropical National Institutes of Health, CBM;University of Heidelberg Medicine, Newcastle University, Royal Occupational Knowledge International, 2 Australia: Nossal Institute for Global Colleges of Physicians of the United Packard Foundation Rockefeller Health - University of Melbourne; 11 Italy: World Food Programme Kingdom, The Royal Commonwealth Foundation, Rollins School of Public AusAID; Deakin University; University Society for the Blind, UK Department for 12 Mexico: National Institute of Public Health (Emory University) State of Queensland, University of Sydney – Health of Mexico International Development, University School of Public Health, George College London, University of Aberdeen, University of New York, The World 13 Nepal: B P Koirala Institute of Health Bank Group, Tides Foundation, Tulane Institute for International Health University of Bristol, University of 14 9 Science Cambridge, University of Edinburgh, University – School of Public Health & 2 3 Bangladesh: International Centre for University of Glasgow, University of Leeds, Tropical Medicine, UNICEF,United 16 Norway: Norwegian Ministry of 5 Diarrheal Diseases 14 University of Liverpool, University of 7 10 Nations, University of Alabama at, 19 15 Foreign Affairs, Norway India London, University of Oxford - Division of 4 17 4 Belgium: European Commission, Birmingham – School of Public Health, 8 Partnership Initiative Public Health and Primary Health Care, Institute of Tropical Medicine, University of Albany – School of Public20 11 Wellcome Trust 15 Netherlands: Erasmus Medical Centre, Health, University of California, 6 5 Canada: University of Manitoba; 21 KIT Royal Tropical Institute, Vrije 20 United States of America: Amar University of Illinois – School of Public 13 University of Alberta; McMaster University Foundation, American India Health, University of Medicine and 3 University; Population Health Research Foundation, Association of Schools of Dentistry, University of Michigan, 12 Institute; Simon Fraser University; 16 Sweden: Swedish National Institute of Public Health,Bates College, Bill and University of Minnesota – School of International Development Research Public Health; Swedish International 1 18 Melinda Gates Foundation, Boston Public Health, University of North Centre; British Columbia Institute of Development Agency University, California Institute for Carolina- School of Public Health, Technology; Population Health 17 Switzerland International Centre : Telecommunication & Information University of Pittsburgh – School of Research Institute, University of Cointrin, Aga Khan Foundation, World Tech UCSD, CEDPA,Cornell University, Public Health, University of South Manitoba, McGill University, Centre Health Organisation, The Global Fund Department of Public Health,Duke Florida – School of Public Hospitalier affilie Universitaire de to Fight AIDS, Tuberculosis and University, EcoHealth Alliance, Health,University of Texas – Health 2 Quebec, University of Toronto- Centre Malaria. World Heart Federation Emerging Market Group,Fogarty Science Centre,University of for Global Health Research, York University of Laussane International Centre, Ford Foundation, Washington,USAID,Vanderbilt University, International Development 18 Phillipines University of Phillipines Georgetown University Medical University,Weill Cornell Medical Research Centre, : Centre,Give2Asia,Harvard 19 United Kingdom: BUPA Foundation, College – Cornell University,World 6 China: China Medical Board Cambridge Commonwealth Trust, Humanitarian Initiative, Harvard Justice Project - American Bar School of Public Health, Institute for 7 Denmark: University of Copenhagen, Cambridge Malaysian Education and Association,Yale University,Yeshiva Faculty of Health Sciences Development Trust, College of Medicine Health Policy, Institute of Public Health University 8 and Veterinary Medicine, Faculty of Public Sciences Albert Einstein College, 21 Pakistan: The Aga Khan University France: Centre Hospitalier affilie Health, Health Protection Agency, Imperial Intrahealth International, John Hopkins Universitaire de Quebec College, Institute of Psychiatry, International Bloomberg School of Public Health 9 Centre for Eye Health, King's College, Finland: National Public Health Lifespan-Tufts-Brown Centre for AIDS The list includes institutes/organizations who are supporting us or working Liverpool School of Tropical Medicine, with us on public health issues including project activity. Institute This list is not comprehensive.

23 24 “You measure the size of the accomplishment by the obstacles you had to overcome to reach your goals!”

Booker T. Washington

25 26 “You measure the size of the accomplishment by the obstacles you had to overcome to reach your goals!”

Booker T. Washington

25 26 The Year Gone by…

JULY 2012 The Regional Consultation OCTOBER 2012 JANUARY 2013 on One Health Alliance in APRIL 2012 Visit by Swiss Delegation and Convocation and expansion South Asia to combat National Conference on discussions on Health Policy of the Certificate Course in Zoonoses organized in Universal Health Coverage Evidence Based Diabetes partnership with the New Management York based-Eco Health Alliance

AUGUST 2012 NOVEMBER 2012 FEBUARY 2013 Report published on MAY 2012 Release of the report on National The Minister of Health of Women's Quality Perception Release of Tobacco Control Initiative for Allied Health Timor Leste, visited PHFI for a Study in partnership with Training Films and Resources Sciences : From 'Paramedics' to demonstration of Swasthya USAID, LSHTM and University 'Allied Health Professionals' Slate of Aberdeen

JUNE 2012 DECEMBER 2012 MARCH 2013 Release of the policy document Commencement of Fit Ho Jao Campaign on plain packaging of tobacco SEPTEMBER 2012 construction of IIPH - celebrating a passion for active products by the Australia-India Launch of the Centre for Gandhinagar Campus lifestyle, conducted at Dilli Institute Taskforce on Tobacco Mental Health Haat, New Delhi Control, co-chaired by Prof Srinath Reddy

27 28 The Year Gone by…

JULY 2012 The Regional Consultation OCTOBER 2012 JANUARY 2013 on One Health Alliance in APRIL 2012 Visit by Swiss Delegation and Convocation and expansion South Asia to combat National Conference on discussions on Health Policy of the Certificate Course in Zoonoses organized in Universal Health Coverage Evidence Based Diabetes partnership with the New Management York based-Eco Health Alliance

AUGUST 2012 NOVEMBER 2012 FEBUARY 2013 Report published on MAY 2012 Release of the report on National The Minister of Health of Women's Quality Perception Release of Tobacco Control Initiative for Allied Health Timor Leste, visited PHFI for a Study in partnership with Training Films and Resources Sciences : From 'Paramedics' to demonstration of Swasthya USAID, LSHTM and University 'Allied Health Professionals' Slate of Aberdeen

JUNE 2012 DECEMBER 2012 MARCH 2013 Release of the policy document Commencement of Fit Ho Jao Campaign on plain packaging of tobacco SEPTEMBER 2012 construction of IIPH - celebrating a passion for active products by the Australia-India Launch of the Centre for Gandhinagar Campus lifestyle, conducted at Dilli Institute Taskforce on Tobacco Mental Health Haat, New Delhi Control, co-chaired by Prof Srinath Reddy

27 28 “He…..that prevents a disease is the safest physician”

Thomas Fuller

29 30 “He…..that prevents a disease is the safest physician”

Thomas Fuller

29 30 Thematic Areas of Focus Building and developing workforce towards Capacity Building effective delivery of public health services India is undergoing a rapid transition in ! establishing new institutes of its health status and, therefore, needs a public health; public health approach wherein healthcare goes beyond simply medical ! assisting the growth of existing care. It promotes health by focusing on public health training preventive measures which address the institutions/departments and causes of diseases. It also focuses on facilitating their evolution into the unmet need for greater public major institutes of public health; health expertise – both in numbers and ! establishing a strong national in skill – to run the health systems and research network of public health services of the country. For this, a and allied institutions which multipronged approach towards would undertake policy- and capacity building is imperative, through program-relevant research that education and training which is will advance public health goals in multidisciplinary in content, suitably prioritized areas, with suitable structured in duration, and not international partnerships where confined merely to medical useful and appropriate; and professionals. ! providing in-service training on Capacity building in public health is various public health areas of one of the primary mandates of the topical importance. Public Health Foundation of India (PHFI). PHFI has set out to build broad based public health capacity by:

31 32 Thematic Areas of Focus Building and developing workforce towards Capacity Building effective delivery of public health services India is undergoing a rapid transition in ! establishing new institutes of its health status and, therefore, needs a public health; public health approach wherein healthcare goes beyond simply medical ! assisting the growth of existing care. It promotes health by focusing on public health training preventive measures which address the institutions/departments and causes of diseases. It also focuses on facilitating their evolution into the unmet need for greater public major institutes of public health; health expertise – both in numbers and ! establishing a strong national in skill – to run the health systems and research network of public health services of the country. For this, a and allied institutions which multipronged approach towards would undertake policy- and capacity building is imperative, through program-relevant research that education and training which is will advance public health goals in multidisciplinary in content, suitably prioritized areas, with suitable structured in duration, and not international partnerships where confined merely to medical useful and appropriate; and professionals. ! providing in-service training on Capacity building in public health is various public health areas of one of the primary mandates of the topical importance. Public Health Foundation of India (PHFI). PHFI has set out to build broad based public health capacity by:

31 32 The Indian Institutes of Public Health

Four Indian Institutes of Public Health which are qualitatively comparable to IIPH, Gandhinagar (IIPH-G) surveillance, nutrition, microfinance, Indian Council of Medical Research, and regional public health initiatives. have been established under the aegis the best in the world. By developing an monitoring health programs and the Central Council for Research in IIPH-G was born on World Health Day of PHFI, one each in Gandhinagar understanding and broad appreciation advocacy, heat stress, and health due Unani Medicine, the Department of – April 7, 2008. Students from various (Gujarat), Hyderabad (Andhra of the multiple determinants of health, to climate change. In addition, IIPH-G Science & Technology, the Medical IIPH, Bhubaneswar (IIPH-B) parts of Gujarat, Madhya Pradesh, Pradesh), Delhi, and Bhubaneswar and imparting skill sets needed for has developed research and academic Council of India, the United Nations Chhattisgarh, Andhra Pradesh, and IIPH Bhubaneswar commenced its (Odisha). Additionally, a partnership designing and implementing a broad collaborations with the Karolinska Children's Fund, and the World Health Punjab have been professionally academic activities from August 2010 has been established in Gwalior range of multisectoral actions required Institute (Sweden), Aberdeen Organisation, to name a few. trained at the Institute. IIPH-G has also with a Post Graduate Diploma course (Madhya Pradesh) and Bengaluru to advance public health, PHFI shall University (UK), Natural Resources been providing research-based health in Public Health Management, which (Karnataka) with the state governments, enhance the nature of healthcare and Defence Council (USA) , and Boston policy advice to the Government of attracted government doctors from and a Memorandum of Understanding opportunities for improving it through University and Columbia University IIPH, Hyderabad (IIPH-H) Gujarat. The faculty members are on Odisha and Chhattisgarh and some for the establishment of an IIPH has these institutions. (USA). various government committees, non- On April 7, 2007(World Health Day), self-sponsored candidates. IIPH-B has been signed with the Government of governmental organization (NGO) PHFI laid the foundation stone for its been establishing important linkages Meghalaya. The IIPHs are envisioned boards and international advisory first institute in Hyderabad, in with the largest residential tribal centre as hubs of teaching, training, research, IIPH, Delhi (IIPH-D) committees. The Institute's activities partnership with the Government of in Bhubaneshwar , a part of Kalinga policy, knowledge-sharing, and IIPH-D, which commenced its have received funding support from, Andhra Pradesh, in the presence of Institute of Social Study (KISS). These experience in the evolving discourse operations in November 2008, has among others, National Rural Health the then Chief Minister of Andhra linkages will form a broad framework on public health. successfully conducted many short- Mission (NRHM) of the Ministry of Pradesh, Dr. Y S Rajasekhara Reddy; for a Centre for Tribal Health and term training programs and workshops These fully-residential institutes are Health and Family Welfare, the the Union Minister for Health and Universal Health Coverage (UHC). in various fields related to public expected to become nodal points for Medical Council of India, the Council Family Welfare, Dr. Anbumani health. Research is being conducted in public health education, advocacy, of Scientific Innovation and Research, Ramadoss; and the Deputy Chairman, the domains of issues such as acute research, and practice in the future, the National Bank for Agriculture & Planning Commission, Mr. Montek and chronic diseases, tobacco, providing quality public health training Rural Development, the Karolinska Singh Ahluwalia. In addition to nutrition, maternal and child health, to graduates from different disciplines. Institute, and the Natural Resources delivering education and conducting and health systems and health policy. The aim of our programs at each IIPH Defense Council. IIPH-G faculty training and research, IIPH-H also The activities and research at IIPH-D is to make education and research members are involved in several assists in the implementation of have received funding support from activities relevant to India in content research projects in areas such as national programs, such as the National the Ministry of Health and Family and context, while attaining standards maternal and child health, disease Rural Health Mission as well as state Welfare, Department of AYUSH, the

33 34 The Indian Institutes of Public Health

Four Indian Institutes of Public Health which are qualitatively comparable to IIPH, Gandhinagar (IIPH-G) surveillance, nutrition, microfinance, Indian Council of Medical Research, and regional public health initiatives. have been established under the aegis the best in the world. By developing an monitoring health programs and the Central Council for Research in IIPH-G was born on World Health Day of PHFI, one each in Gandhinagar understanding and broad appreciation advocacy, heat stress, and health due Unani Medicine, the Department of – April 7, 2008. Students from various (Gujarat), Hyderabad (Andhra of the multiple determinants of health, to climate change. In addition, IIPH-G Science & Technology, the Medical IIPH, Bhubaneswar (IIPH-B) parts of Gujarat, Madhya Pradesh, Pradesh), Delhi, and Bhubaneswar and imparting skill sets needed for has developed research and academic Council of India, the United Nations Chhattisgarh, Andhra Pradesh, and IIPH Bhubaneswar commenced its (Odisha). Additionally, a partnership designing and implementing a broad collaborations with the Karolinska Children's Fund, and the World Health Punjab have been professionally academic activities from August 2010 has been established in Gwalior range of multisectoral actions required Institute (Sweden), Aberdeen Organisation, to name a few. trained at the Institute. IIPH-G has also with a Post Graduate Diploma course (Madhya Pradesh) and Bengaluru to advance public health, PHFI shall University (UK), Natural Resources been providing research-based health in Public Health Management, which (Karnataka) with the state governments, enhance the nature of healthcare and Defence Council (USA) , and Boston policy advice to the Government of attracted government doctors from and a Memorandum of Understanding opportunities for improving it through University and Columbia University IIPH, Hyderabad (IIPH-H) Gujarat. The faculty members are on Odisha and Chhattisgarh and some for the establishment of an IIPH has these institutions. (USA). various government committees, non- On April 7, 2007(World Health Day), self-sponsored candidates. IIPH-B has been signed with the Government of governmental organization (NGO) PHFI laid the foundation stone for its been establishing important linkages Meghalaya. The IIPHs are envisioned boards and international advisory first institute in Hyderabad, in with the largest residential tribal centre as hubs of teaching, training, research, IIPH, Delhi (IIPH-D) committees. The Institute's activities partnership with the Government of in Bhubaneshwar , a part of Kalinga policy, knowledge-sharing, and IIPH-D, which commenced its have received funding support from, Andhra Pradesh, in the presence of Institute of Social Study (KISS). These experience in the evolving discourse operations in November 2008, has among others, National Rural Health the then Chief Minister of Andhra linkages will form a broad framework on public health. successfully conducted many short- Mission (NRHM) of the Ministry of Pradesh, Dr. Y S Rajasekhara Reddy; for a Centre for Tribal Health and term training programs and workshops These fully-residential institutes are Health and Family Welfare, the the Union Minister for Health and Universal Health Coverage (UHC). in various fields related to public expected to become nodal points for Medical Council of India, the Council Family Welfare, Dr. Anbumani health. Research is being conducted in public health education, advocacy, of Scientific Innovation and Research, Ramadoss; and the Deputy Chairman, the domains of issues such as acute research, and practice in the future, the National Bank for Agriculture & Planning Commission, Mr. Montek and chronic diseases, tobacco, providing quality public health training Rural Development, the Karolinska Singh Ahluwalia. In addition to nutrition, maternal and child health, to graduates from different disciplines. Institute, and the Natural Resources delivering education and conducting and health systems and health policy. The aim of our programs at each IIPH Defense Council. IIPH-G faculty training and research, IIPH-H also The activities and research at IIPH-D is to make education and research members are involved in several assists in the implementation of have received funding support from activities relevant to India in content research projects in areas such as national programs, such as the National the Ministry of Health and Family and context, while attaining standards maternal and child health, disease Rural Health Mission as well as state Welfare, Department of AYUSH, the

33 34 Future Faculty Programme and PHFI-UK Consortium Faculty Members with their Wellcome Trust Departmental Affiliations as Capacity Building on August 1, 2013 Programme

One of the critical needs with PHFI-UK Consortium Wellcome Trust regard to the planned provision of Capacity Building Programme is an Faculty strength at high quality and large-scale public ambitious five-year program that aims PHFI-IIPHs 5% health education in India is the to develop the teaching and research Bio statics & Demography Currently PHFI's faculty pool Others.. development of appropriately skills of PHFI's faculty members by 6% constitutes 90 full-time, 35 skilled faculty in adequate financially supporting graduate and adjunct, and 20 visiting numbers. In view of this, PHFI doctoral studies, collaborative research (eminent) faculty members. 12% launched the Future Faculty projects and research fellowships, and They have a multidisciplinary 33% Programme (FFP) in 2006, to faculty exchanges between PHFI and background, are internationally Health Promotion Health Systems develop future leaders in public the United Kingdom. This is the fifth trained with strong research health academia. Till 2009, over year of the program and after a review Achievements skills, and have scores of 40 selected candidates were given of its activities and progress in early papers published in national 10% fellowships for Masters level 2013, Wellcome Trust has extended it About 90 persons have had their research, teaching, and training capacity

and international journals of Occupational & courses in Public Health at 30 to 2017. The Teaching & Training systematically built under Wellcome Trust Programme for contributing to repute to their credit. Forty-five environmental Health eminent schools of public health Committee, Research Committee, public health in India. This includes 27 doctoral study awards, 15 Master's 20% study awards, 18 research fellowships and 21 research grants. Ten short of our full- time faculty 14% in the United States, the United Evaluation Committee, and the members hold a PhD, with 15 Sciences Epidemiology Kingdom, Europe, Canada, and Executive Committee, which include courses organized jointly by the U.K. and India faculty have been held with currently pursuing a PhD. Social & Behaviourial Australia. In 2009 PHFI, along members from PHFI/IIPHs and a about 220 participants. Around 40 research papers have been published Additionally, some of our total with a consortium of 15 U.K. consortium of 16 U.K. universities and under this program, and many more are expected over the next few years. pool of 94 full-time researchers partner schools, was awarded a organizations, steer the work of this are also involved in teaching; Wellcome Trust Capacity Building program. 18 of them hold PhDs. grant for faculty development. The

35 36 Future Faculty Programme and PHFI-UK Consortium Faculty Members with their Wellcome Trust Departmental Affiliations as Capacity Building on August 1, 2013 Programme

One of the critical needs with PHFI-UK Consortium Wellcome Trust regard to the planned provision of Capacity Building Programme is an Faculty strength at high quality and large-scale public ambitious five-year program that aims PHFI-IIPHs 5% health education in India is the to develop the teaching and research Bio statics & Demography Currently PHFI's faculty pool Others.. development of appropriately skills of PHFI's faculty members by 6% constitutes 90 full-time, 35 skilled faculty in adequate financially supporting graduate and adjunct, and 20 visiting numbers. In view of this, PHFI doctoral studies, collaborative research (eminent) faculty members. 12% launched the Future Faculty projects and research fellowships, and They have a multidisciplinary 33% Programme (FFP) in 2006, to faculty exchanges between PHFI and background, are internationally Health Promotion Health Systems develop future leaders in public the United Kingdom. This is the fifth trained with strong research health academia. Till 2009, over year of the program and after a review Achievements skills, and have scores of 40 selected candidates were given of its activities and progress in early papers published in national 10% fellowships for Masters level 2013, Wellcome Trust has extended it About 90 persons have had their research, teaching, and training capacity and international journals of Occupational & courses in Public Health at 30 to 2017. The Teaching & Training systematically built under Wellcome Trust Programme for contributing to repute to their credit. Forty-five environmental Health eminent schools of public health Committee, Research Committee, public health in India. This includes 27 doctoral study awards, 15 Master's 20% study awards, 18 research fellowships and 21 research grants. Ten short of our full- time faculty 14% in the United States, the United Evaluation Committee, and the members hold a PhD, with 15 Sciences Epidemiology Kingdom, Europe, Canada, and Executive Committee, which include courses organized jointly by the U.K. and India faculty have been held with currently pursuing a PhD. Social & Behaviourial Australia. In 2009 PHFI, along members from PHFI/IIPHs and a about 220 participants. Around 40 research papers have been published Additionally, some of our total with a consortium of 15 U.K. consortium of 16 U.K. universities and under this program, and many more are expected over the next few years. pool of 94 full-time researchers partner schools, was awarded a organizations, steer the work of this are also involved in teaching; Wellcome Trust Capacity Building program. 18 of them hold PhDs. grant for faculty development. The

35 36 On Campus Courses IIPH and Academic Name of Program Year of Name of Program Launch Institutes Duration Programs History and evolution of the PGDPHM program Post Graduate Diploma in 2008 IIPH, Delhi 12 months A guiding principle of the academic In July 2008, the Government of India launched the Post Graduate Diploma in Public The prime feature in the content and Public Health Management IIPH, Bhubaneswar programs at PHFI and the IIPHs is Health Management (PGDPHM). Inaugurated by former Union Secretary, Ministry of pedagogy of the program is its (PGDPHM) IIPH, Gandhinagar making public health education and Health and Family Welfare Mr. Naresh Dayal, this flagship program under the placement in the context of the IIPH, Hyderabad allied research activities relevant to umbrella of the National Rural Health Mission, aims to strengthen the capacity of NRHM. It offers multiple SIHMC, Gwalior India in content and context, while health professionals in the domain of health management and administration. The encouragements to motivate the states IIPH, Hyderabad- attaining international standards. PGDPHM consortium was constituted initially with four partner institutes ? IIPH, and the central government to establish Bangalore Campus Recognizing the need for reaching out Gandhinagar; the Mahatma Gandhi Institute of Medical Sciences (MGIMS), Wardha; a specialized public health cadre. Its the National Institute of Health and Family Welfare (NIHFW), New Delhi; and the All multidisciplinary facets are aimed at to students who are unable to attend Post Graduate Diploma in 2008 IIPH, Hyderabad 12 months India Institute of Hygiene and Public Health (AIIH&PH), Kolkata. This consortium has addressing the mismatch in the full-time courses, the Institutes have Biostatistics and Data since expanded and currently eleven institutes offer the PGDPHM program across demand and supply of health also ventured into distance education. Management (PGDBDM) Courses are delivered in the hybrid- India, under the leadership of PHFI. Additionally, a partnership has been established professionals. with the state governments of Madhya Pradesh and Karnataka to offer the PGDPHM blended learning mode, with a Post Graduate Diploma in 2008 IIPH, Delhi 9 months program at partner institutes in Gwalior and Bangalore respectively. The health combination of interactive online Health Economics, Health manpower at the State Institute of Health Management and Communication computer-based virtual lectures and Care Financing and Health (SIHMC), Gwalior, is being trained in Health Management skills as a part of the discussions with mentors through a Policy (PGDHEP) discussion board and project work. PGDPHM program. IIPH-Hyderabad is working closely with the Government of Karnataka and has set up a campus in Bangalore to help enhance public health Post Graduate Diploma in 2010 IIPH, Delhi 12 months capacity in the state. Clinical Research (PGDCR)

Integrated MSc & PhD in 2013 IIPH, Delhi Residential course Clinical Research lasting for two years of MSc and three years of PhD in Clinical Research.

Integrated MSc & PhD In 2013 IIPH, Hyderabad Residential course Health Informatics lasting for two years of MSc and three years of PhD in Health Informatics 37 38 On Campus Courses IIPH and Academic Name of Program Year of Name of Program Launch Institutes Duration Programs History and evolution of the PGDPHM program Post Graduate Diploma in 2008 IIPH, Delhi 12 months A guiding principle of the academic In July 2008, the Government of India launched the Post Graduate Diploma in Public The prime feature in the content and Public Health Management IIPH, Bhubaneswar programs at PHFI and the IIPHs is Health Management (PGDPHM). Inaugurated by former Union Secretary, Ministry of pedagogy of the program is its (PGDPHM) IIPH, Gandhinagar making public health education and Health and Family Welfare Mr. Naresh Dayal, this flagship program under the placement in the context of the IIPH, Hyderabad allied research activities relevant to umbrella of the National Rural Health Mission, aims to strengthen the capacity of NRHM. It offers multiple SIHMC, Gwalior India in content and context, while health professionals in the domain of health management and administration. The encouragements to motivate the states IIPH, Hyderabad- attaining international standards. PGDPHM consortium was constituted initially with four partner institutes ? IIPH, and the central government to establish Bangalore Campus Recognizing the need for reaching out Gandhinagar; the Mahatma Gandhi Institute of Medical Sciences (MGIMS), Wardha; a specialized public health cadre. Its the National Institute of Health and Family Welfare (NIHFW), New Delhi; and the All multidisciplinary facets are aimed at to students who are unable to attend Post Graduate Diploma in 2008 IIPH, Hyderabad 12 months India Institute of Hygiene and Public Health (AIIH&PH), Kolkata. This consortium has addressing the mismatch in the full-time courses, the Institutes have Biostatistics and Data since expanded and currently eleven institutes offer the PGDPHM program across demand and supply of health also ventured into distance education. Management (PGDBDM) Courses are delivered in the hybrid- India, under the leadership of PHFI. Additionally, a partnership has been established professionals. with the state governments of Madhya Pradesh and Karnataka to offer the PGDPHM blended learning mode, with a Post Graduate Diploma in 2008 IIPH, Delhi 9 months program at partner institutes in Gwalior and Bangalore respectively. The health combination of interactive online Health Economics, Health manpower at the State Institute of Health Management and Communication computer-based virtual lectures and Care Financing and Health (SIHMC), Gwalior, is being trained in Health Management skills as a part of the discussions with mentors through a Policy (PGDHEP) discussion board and project work. PGDPHM program. IIPH-Hyderabad is working closely with the Government of Karnataka and has set up a campus in Bangalore to help enhance public health Post Graduate Diploma in 2010 IIPH, Delhi 12 months capacity in the state. Clinical Research (PGDCR)

Integrated MSc & PhD in 2013 IIPH, Delhi Residential course Clinical Research lasting for two years of MSc and three years of PhD in Clinical Research.

Integrated MSc & PhD In 2013 IIPH, Hyderabad Residential course Health Informatics lasting for two years of MSc and three years of PhD in Health Informatics 37 38 Geographical distribution of PHFI graduates Academic partnership from residential full-time courses between PHFI and the Year 2008-09 to 2011-12 Academy of Scientific & Innovative Research

In April 2013, PHFI and AcSIR entered AcSIR is an Institution of National into an academic partnership to Importance established by an Act of 2 enhance initiatives to address public Parliament, the Academy of Scientific 14 health issues in a comprehensive and Innovative Research Act, 2011, with a 26 innovative manner, thus offering an mandate to create and train science 11 1 3 opportunity to promote globally and technology leaders through a 12 4 20 8 recognized health academics and combination of innovative and novel 1 scientific research in India. The mission curricula, pedagogy, and evaluation. 10 4 122 is to create highest quality personnel 66 11 with cross-disciplinary knowledge, in 36 order to generate leaders in the field of science and technology. The last mile 27 hurdles that impede transfer of the lab-

strength of AcSIR to the bedside can be 111 met by PHFI's knowledge of that 1 domain and its networks with public 11 health and medical institutions.

1 Total 500 *Including International Students

39 40 Geographical distribution of PHFI graduates Academic partnership from residential full-time courses between PHFI and the Year 2008-09 to 2011-12 Academy of Scientific & Innovative Research

In April 2013, PHFI and AcSIR entered AcSIR is an Institution of National into an academic partnership to Importance established by an Act of 2 enhance initiatives to address public Parliament, the Academy of Scientific 14 health issues in a comprehensive and Innovative Research Act, 2011, with a 26 innovative manner, thus offering an mandate to create and train science 11 1 3 opportunity to promote globally and technology leaders through a 12 4 20 8 recognized health academics and combination of innovative and novel 1 scientific research in India. The mission curricula, pedagogy, and evaluation. 10 4 122 is to create highest quality personnel 66 11 with cross-disciplinary knowledge, in 36 order to generate leaders in the field of science and technology. The last mile 27 hurdles that impede transfer of the lab- strength of AcSIR to the bedside can be 111 met by PHFI's knowledge of that 1 domain and its networks with public 11 health and medical institutions.

1 Total 500 *Including International Students

39 40 Distance Education Programs Geographical distribution of PHFI graduates

Name of Program Post Graduate Diploma in Public from Distance Education Programs courses Health Nutrition – Distance Year 2012-2013 Learning (PGDPHN-DL) Year of Launch 2011 Program Duration 12 months

Name of Program Post Graduate Diploma in 9 Epidemiology – Distance Learning (PGDEPI-DL) 1 Year of Launch 2012 Program Duration 12 months 10 7 2 Name of Program Post Graduate Diploma in Health 17 Promotion – Distance Learning 86 Year of Launch 2011 63 13 Under Project STEPS 6 (Strengthening of Tobacco 18 41 1 Control Efforts through Innovative Partnerships and Strategies) 18 50 3 Program Duration 12 months 95 59 11 Name of Program Certificate Program in Research Methodology - Distance Learning 42 Year of Launch 2012 Program Duration 6 months 80 Name of Program Post Graduate Diploma in 52 Management of Reproductive and Child Health Programs - 2 Distance Learning 38 Year of Launch 2013 Program Duration 12 months

14 20

41 42 Distance Education Programs Geographical distribution of PHFI graduates

Name of Program Post Graduate Diploma in Public from Distance Education Programs courses Health Nutrition – Distance Year 2012-2013 Learning (PGDPHN-DL) Year of Launch 2011 Program Duration 12 months

Name of Program Post Graduate Diploma in 9 Epidemiology – Distance Learning (PGDEPI-DL) 1 Year of Launch 2012 Program Duration 12 months 10 7 2 Name of Program Post Graduate Diploma in Health 17 Promotion – Distance Learning 86 Year of Launch 2011 63 13 Under Project STEPS 6 (Strengthening of Tobacco 18 41 1 Control Efforts through Innovative Partnerships and Strategies) 18 50 3 Program Duration 12 months 95 59 11 Name of Program Certificate Program in Research Methodology - Distance Learning 42 Year of Launch 2012 Program Duration 6 months 80 Name of Program Post Graduate Diploma in 52 Management of Reproductive and Child Health Programs - 2 Distance Learning 38 Year of Launch 2013 Program Duration 12 months

14 20

41 42 Professional background of graduates 1% of Distance Learning Courses 2% 1% Our alumni are working in reputed Indian and international organizations. 3% 28 Medical Graduates (MD,MDS,DNB,DGO) 17 Medical Postgraduates 12 Lifesciences Graduates 16 Others* 7 MSW 6% 7 Ayush Graduates 6 Management Graduates 3 PhD 2 MPH 7% 28% 1 Allied Health Professionals 1 Nursing Graduates

7%

12% 17%

16%

*Others (Post Graduate, MA/BA, BCom, BPH, Pharma) 43 2011 till 2013 44 Professional background of graduates 1% of Distance Learning Courses 2% 1% Our alumni are working in reputed Indian and international organizations. 3% 28 Medical Graduates (MD,MDS,DNB,DGO) 17 Medical Postgraduates 12 Lifesciences Graduates 16 Others* 7 MSW 6% 7 Ayush Graduates 6 Management Graduates 3 PhD 2 MPH 7% 28% 1 Allied Health Professionals 1 Nursing Graduates

7%

12% 17%

16%

*Others (Post Graduate, MA/BA, BCom, BPH, Pharma) 43 2011 till 2013 44 Batch profile of PHFI academic programs 2012-13

2% PGDPHM training helped me by improving my monitoring at The one year PGDPHM is an intense program. The medley of 4% 17% 11% the district level. I am able to handle the handicap program doctors from various states and other health/non health 25% very well. professionals in the class has enriched the learning environment. 36% 50% Dr. Kartik R. Shah Joining this course at IIPH gave me the required thrust to plunge 50% 50% 17% 2008-09 Batch, PGDPHM into the field of Public Health. 62% 51% 25% Ms. Vibha Chabra 2010-11 Batch, PGDPHM

2-5 years 5-9 years Medical Graduates Management Graduates 0-1 Year 3-6 Years Humanities Graduates 1-3 years 3-6 Years Pharmaceutical Graduates Life Science Graduates Medical Graduates Finance & Management Graduates Figure 1 Figure 1.1 Figure 3 Figure 3.1 Batch profile of PGDHEP, 2012-13 Experience of PGDHEP batch of 2012-13 Batch Profile of PGDPHM, 2012-13 Experience of PGDPHM Batch of 2012-13

8% Before taking up PGDHEP program, for two years, I was in a This program taught me about the application of statistics and 25% 25% field job. Though I had a long, enough public health exposure also helped me to acquire a profession by attaining statistical 17% 33% 33% but this program helped me to come back to software skills. The practical approach of the course, 75% academics…today my current job involves revising policy specialized faculty, infrastructure and the internship were all 67% 67% 50% documents for AYUSH sector, thus health policy been taught really helpful in my obtaining the desired requirements to get in a more analytical manner during the PGDHEP program, a job. was of much use in my current job. Mr. Sameer M Bamnote Medical Graduates 0-12 Months Dr. Venkatesh Vinayak Narayan 2008-09 Batch, PGDBDM MCA 0-6 Months Pharmaceuticals Graduates 1-3 years 2010-11 Batch, PGDHEP Msc 1-2 Years Life Science Graduates 6-8 Years Figure 2.1 Figure 2.1 Figure 4 Figure 4.1 Batch Profile of PGDCR, 2012-13 Experience of PGDCR batch of 2012-13 Batch Profile of PGDBDM, 2012-13 Experience of PGDBDM Batch of 2012-13

45 46 Batch profile of PHFI academic programs 2012-13

2% PGDPHM training helped me by improving my monitoring at The one year PGDPHM is an intense program. The medley of 4% 17% 11% the district level. I am able to handle the handicap program doctors from various states and other health/non health 25% very well. professionals in the class has enriched the learning environment. 36% 50% Dr. Kartik R. Shah Joining this course at IIPH gave me the required thrust to plunge 50% 50% 17% 2008-09 Batch, PGDPHM into the field of Public Health. 62% 51% 25% Ms. Vibha Chabra 2010-11 Batch, PGDPHM

2-5 years 5-9 years Medical Graduates Management Graduates 0-1 Year 3-6 Years Humanities Graduates 1-3 years 3-6 Years Pharmaceutical Graduates Life Science Graduates Medical Graduates Finance & Management Graduates Figure 1 Figure 1.1 Figure 3 Figure 3.1 Batch profile of PGDHEP, 2012-13 Experience of PGDHEP batch of 2012-13 Batch Profile of PGDPHM, 2012-13 Experience of PGDPHM Batch of 2012-13

8% Before taking up PGDHEP program, for two years, I was in a This program taught me about the application of statistics and 25% 25% field job. Though I had a long, enough public health exposure also helped me to acquire a profession by attaining statistical 17% 33% 33% but this program helped me to come back to software skills. The practical approach of the course, 75% academics…today my current job involves revising policy specialized faculty, infrastructure and the internship were all 67% 67% 50% documents for AYUSH sector, thus health policy been taught really helpful in my obtaining the desired requirements to get in a more analytical manner during the PGDHEP program, a job. was of much use in my current job. Mr. Sameer M Bamnote Medical Graduates 0-12 Months Dr. Venkatesh Vinayak Narayan 2008-09 Batch, PGDBDM MCA 0-6 Months Pharmaceuticals Graduates 1-3 years 2010-11 Batch, PGDHEP Msc 1-2 Years Life Science Graduates 6-8 Years Figure 2.1 Figure 2.1 Figure 4 Figure 4.1 Batch Profile of PGDCR, 2012-13 Experience of PGDCR batch of 2012-13 Batch Profile of PGDBDM, 2012-13 Experience of PGDBDM Batch of 2012-13

45 46 Training ! In Odisha, in December 2012,WHO, ! Under the PHFI-MEASURE Evaluation public health at the State Institute of in collaboration with the Ministry of partnership, an international Health and Family Welfare (SIHFW), The Training Division at PHFI was Health and Family Welfare and the workshop on Strengthening of and supporting partners to strengthen Routine Health Information Systems the SIHFW, Uttarakhand. started in 2008 with the aim of Government of Odisha conducted a building capacity through short-term (RHIS) Management is scheduled to Capacity Building Workshop in the ! The Public Health Leadership and training programs in public health. be held in September-October 2013 National Leprosy Eradication Program Implementation Program (PH- There has been a steady growth in the in New Delhi. The workshop has LEADER) has been set up through a (NLEP) and other important health been designed for government and number of both governmental and collaboration between Emory programs for senior state and district NGO professionals who are non-governmental trainees, with a 56 University's Rollins School of Public health officials. Participants included responsible for the management of percent increase in 2011-12 and a 57 Health, PHFI, and the National Director Public Health; Director health services and health programs Institute of Public Health of Mexico percent increase in 2012-13. Training Health Services; Team Leader (State at national and sub-national levels; (INSP). This consortium was sessions are conducted at the IIPHs for the management of RHIS; for the Human Resource Management Unit); established through a grant from the and offsite at locations specified by the monitoring and evaluation of health Joint Directors and Deputy Directors United States National Institutes of state governments. programs; and also for the staff of Public Health and the Fogarty of national health programs like the technical assistance projects that aim International Center. This program National Leprosy Eradication at improving health system aims to develop in-service public Program, the Revised National TB management. 30000 140 health professionals, to acquire strong 26910 Control Program, the Integrated ! PHFI has developed a partnership leadership and applied skills in their Disease Surveillance Project, and the under the Public Sector Linkages fields of expertise, the ability to 23898 116 120 25000 National Vector Borne Disease Program (PSLP) with the Health and translate and implement innovations Control Program; consultants from Family Welfare Department, in research and programming into 92 100 20000 18618 the Technical and Management Government of Uttarakhand, and the policy, research and practice, and to Nossal Institute for Global Health, the address the heavy and growing 80 Support Team and WHO; and faculty University of Melbourne, for a period burden of non-communicable 15000 59 of IIPH, Bhubaneswar. of three years (January 2013 to diseases in India. 60 ! PHFI partnered with the National December 2015). The project 10000 7833 Rural Health Mission, Government of envisions building the capacity of the 40 Uttarakhand, to conduct a series of 27 4996 public health workforce in 5863 training sessions in Haldwani and 5000 3177 Uttarakhand by conducting Public 20 Dehradun on Infection Control 1152 Health Leadership training, Training Practices and Bio-medical Waste Needs Assessment (of Medical 0 0 Management for 155 public health Officers-Primary Health Centres and 2009-10 2010-11 2011-12 2012-13 professionals and paramedical staff District Program Managers), for from the Uttarakhand Health and developing curricula in teaching Participants Trained Training Person Days No. of Trainings Family Welfare Department.

47 48 Training ! In Odisha, in December 2012,WHO, ! Under the PHFI-MEASURE Evaluation public health at the State Institute of in collaboration with the Ministry of partnership, an international Health and Family Welfare (SIHFW), The Training Division at PHFI was Health and Family Welfare and the workshop on Strengthening of and supporting partners to strengthen Routine Health Information Systems the SIHFW, Uttarakhand. started in 2008 with the aim of Government of Odisha conducted a building capacity through short-term (RHIS) Management is scheduled to Capacity Building Workshop in the ! The Public Health Leadership and training programs in public health. be held in September-October 2013 National Leprosy Eradication Program Implementation Program (PH- There has been a steady growth in the in New Delhi. The workshop has LEADER) has been set up through a (NLEP) and other important health been designed for government and number of both governmental and collaboration between Emory programs for senior state and district NGO professionals who are non-governmental trainees, with a 56 University's Rollins School of Public health officials. Participants included responsible for the management of percent increase in 2011-12 and a 57 Health, PHFI, and the National Director Public Health; Director health services and health programs Institute of Public Health of Mexico percent increase in 2012-13. Training Health Services; Team Leader (State at national and sub-national levels; (INSP). This consortium was sessions are conducted at the IIPHs for the management of RHIS; for the Human Resource Management Unit); established through a grant from the and offsite at locations specified by the monitoring and evaluation of health Joint Directors and Deputy Directors United States National Institutes of state governments. programs; and also for the staff of Public Health and the Fogarty of national health programs like the technical assistance projects that aim International Center. This program National Leprosy Eradication at improving health system aims to develop in-service public Program, the Revised National TB management. 30000 140 health professionals, to acquire strong 26910 Control Program, the Integrated ! PHFI has developed a partnership leadership and applied skills in their Disease Surveillance Project, and the under the Public Sector Linkages fields of expertise, the ability to 23898 116 120 25000 National Vector Borne Disease Program (PSLP) with the Health and translate and implement innovations Control Program; consultants from Family Welfare Department, in research and programming into 92 100 20000 18618 the Technical and Management Government of Uttarakhand, and the policy, research and practice, and to Nossal Institute for Global Health, the address the heavy and growing 80 Support Team and WHO; and faculty University of Melbourne, for a period burden of non-communicable 15000 59 of IIPH, Bhubaneswar. of three years (January 2013 to diseases in India. 60 ! PHFI partnered with the National December 2015). The project 10000 7833 Rural Health Mission, Government of envisions building the capacity of the 40 Uttarakhand, to conduct a series of 27 4996 public health workforce in 5863 training sessions in Haldwani and 5000 3177 Uttarakhand by conducting Public 20 Dehradun on Infection Control 1152 Health Leadership training, Training Practices and Bio-medical Waste Needs Assessment (of Medical 0 0 Management for 155 public health Officers-Primary Health Centres and 2009-10 2010-11 2011-12 2012-13 professionals and paramedical staff District Program Managers), for from the Uttarakhand Health and developing curricula in teaching Participants Trained Training Person Days No. of Trainings Family Welfare Department.

47 48 Building capacities of professionals. Additionally, short workshops have been conducted in AYUSH professionals in partnership with the government public health exclusively for capacity building of India has a rich heritage of traditional nominated AYUSH professionals in knowledge systems of Ayurveda & public health sciences. In Karnataka, Sowa Rigpa, Yoga & Naturopathy, three six-day workshops have been Unani, Siddha, and Homeopathy conducted for orienting AYUSH (AYUSH). Considering the emphasis doctors to public health in 2013. In placed on AYUSH under the NRHM, in 2012 AYUSH doctors were imparted future a significant number of AYUSH training in public health management.. graduates will join the government A total of 140 AYUSH professionals public health sector, working mostly in have received training and orientation peri-urban and rural areas. Training in as a part of a grant from the public health for AYUSH personnel is Department of AYUSH, Karnataka. an essential part of the education and Continuing Medical Education (CME) goals under the Eleventh and Twelfth Other Projects Five Year Plans. Moreover, the High Project Title Funding Body Level Expert Group Report on Development of a Post Graduate Level Universal Health Coverage for India Measure & Evaluation Course for Master The University Of North Carolina at Chapel Hill and in Public Health Programs in South Asia USAID recommends bridge-courses and Post Capacity Building Workshop on Graduate courses in health program Programme Management & Evaluation In PHFI management, hospital management, Public Health public health, and primary healthcare Workshop on Project Management PHFI for AYUSH doctors, so as to optimally utilize the AYUSH health resource Assessment of Utilization of AYUSH Directorate of Health Services and State Human Doctors' Services in Odisha Resource Management Unit, Odisha within the public health system and to strengthen health sector management. Design Development and Evaluation of Institute of Nuclear Medicine and Allied Sciences, Video Games for Improving Cognitive Ministry of Defence The majority of our full-time and Health distance learning academic programs at 5 Tablets to HSI for Blood Pressure, Anemia, Temperature, Pulse Oxygen and Healthpoint Services India Pvt. Ltd. the various IIPHs also cater to AYUSH Blood Glucose

49 50 Building capacities of professionals. Additionally, short workshops have been conducted in AYUSH professionals in partnership with the government public health exclusively for capacity building of India has a rich heritage of traditional nominated AYUSH professionals in knowledge systems of Ayurveda & public health sciences. In Karnataka, Sowa Rigpa, Yoga & Naturopathy, three six-day workshops have been Unani, Siddha, and Homeopathy conducted for orienting AYUSH (AYUSH). Considering the emphasis doctors to public health in 2013. In placed on AYUSH under the NRHM, in 2012 AYUSH doctors were imparted future a significant number of AYUSH training in public health management.. graduates will join the government A total of 140 AYUSH professionals public health sector, working mostly in have received training and orientation peri-urban and rural areas. Training in as a part of a grant from the public health for AYUSH personnel is Department of AYUSH, Karnataka. an essential part of the education and Continuing Medical Education (CME) goals under the Eleventh and Twelfth Other Projects Five Year Plans. Moreover, the High Project Title Funding Body Level Expert Group Report on Development of a Post Graduate Level Universal Health Coverage for India Measure & Evaluation Course for Master The University Of North Carolina at Chapel Hill and in Public Health Programs in South Asia USAID recommends bridge-courses and Post Capacity Building Workshop on Graduate courses in health program Programme Management & Evaluation In PHFI management, hospital management, Public Health public health, and primary healthcare Workshop on Project Management PHFI for AYUSH doctors, so as to optimally utilize the AYUSH health resource Assessment of Utilization of AYUSH Directorate of Health Services and State Human Doctors' Services in Odisha Resource Management Unit, Odisha within the public health system and to strengthen health sector management. Design Development and Evaluation of Institute of Nuclear Medicine and Allied Sciences, Video Games for Improving Cognitive Ministry of Defence The majority of our full-time and Health distance learning academic programs at 5 Tablets to HSI for Blood Pressure, Anemia, Temperature, Pulse Oxygen and Healthpoint Services India Pvt. Ltd. the various IIPHs also cater to AYUSH Blood Glucose

49 50 Healing is a matter of time, but it is sometimes also a matter of opportunity.

Hippocrates

51 52 Healing is a matter of time, but it is sometimes also a matter of opportunity.

Hippocrates

51 52 From Knowledge to Action, Turning Vision into a Reality: Health Systems, Reforming and Restructuring the Allied Health Sector

Policy and Finance Addressing shortages in human Investing in allied health professionals formally presented and accepted by resources for health is the first step has, however, at no point in history the Ministry of Health and Family towards expanding the reach of health been so crucial to reforms in the public Welfare. The report, From Paramedics services in underserved areas. Fulfilling health sector as it is today. to Allied Health Professionals, formally India's mandate for UHC will depend In March 2011 the Ministry of Health released by the Minister of Health and on the availability of well-trained and and Family Welfare nominated the Family Welfare Mr. Ghulam Nabi Azad qualified health professionals at the Public Health Foundation of India as its on December 21, 2012, documented According to the World Health intersectoral, reflecting the experiences and through secondary analytical primary, secondary, and tertiary levels technical partner, and constituted the vast inter- and intra-state differences, Organisation, the building blocks of of stakeholders, ranging from health research projects. Our activities are in both the private and public sectors. National Initiative for Allied Health with public and private facilities health systems are service delivery, providers (public and private) and geared towards understanding the Allied health professionals (AHPs), Sciences (NIAHS) secretariat with the struggling to cope with increasing information and evidence, health policymakers to recipients of care. current situation of health human otherwise known as paramedics in mandate to develop a framework to human resource costs, shortages, commodities such as medical products According to the Alliance for Health resources in the country, health India, can help fill this need and gaps improve allied health training, uneven distribution, and skill-mix and technologies, health workforces, Policy and Systems, HSR “involves the governance, capacity building of in health services. Although the education, and regulation in the imbalances. There is also a need for health financing, and leadership and production of new knowledge to frontline health workers and definitions may vary per country, these country. The terms of reference set by reconfiguring and restructuring the governance. A responsive national improve how societies organize stakeholders in monitoring and health workers are generally involved the health ministry directed the NIAHS allied health space, by creating health system delivers services to all of themselves to achieve health goals.” evaluation activities (M&E), and in providing technical, diagnostic, secretariat to map the allied health dedicated national and regional its citizens in a timely and effective Strengthening India's health system will creation of an enabling environment therapeutic or direct patient care training landscape and the current institutes with the objective of manner. Its role is to maintain and require a closer understanding of its for adoption of Universal Health services, that are distinct from nursing, regulatory framework for various allied nurturing talent, retaining allied health promote health behaviors that improve key constraints: shortage of health Coverage. pharmacy, or medicine. health disciplines. professionals, and providing a distinct the wellbeing of communities, families, workers, effective financing, career path. PHFI was invited by the Ministry of Strengthening and utilizing the allied The final recommendations from PHFI, and individuals. It provides equitable insufficient infrastructure, and lack of Health and Family Welfare to set up an health workforce is a step towards the derived from multiple stakeholder The National Skill Development and quality service to everyone, proper monitoring for promoting Immunization Technical Support Unit goal of attaining an equitable, just, and consultation meetings with over 300 Corporation (NSDC) healthcare sector regardless of their ability to pay for evidence-based policies and decision (ITSU) to assist in strengthening the patient-centered healthcare system. experts, field visits to the various skill council, commissioned a follow-up services, ensuring that families do not making. country's Universal Immunization India has traditionally leaned towards centres of excellence, and a desk study to quantify the industry face medical bankruptcy. PHFI strives to produce evidence- Programme (UIP). . doctor-centered healthcare delivery, review encompassing nationwide perspective on skill gaps amongst AHP Health systems research (HSR) is based data through various descriptive, with little attention paid to materials and modeling activities, were and its impact on employment multidisciplinary and ideally comparative, and evaluation studies specialization in allied health sciences. opportunities in the private sector.

53 54 From Knowledge to Action, Turning Vision into a Reality: Health Systems, Reforming and Restructuring the Allied Health Sector

Policy and Finance Addressing shortages in human Investing in allied health professionals formally presented and accepted by resources for health is the first step has, however, at no point in history the Ministry of Health and Family towards expanding the reach of health been so crucial to reforms in the public Welfare. The report, From Paramedics services in underserved areas. Fulfilling health sector as it is today. to Allied Health Professionals, formally India's mandate for UHC will depend In March 2011 the Ministry of Health released by the Minister of Health and on the availability of well-trained and and Family Welfare nominated the Family Welfare Mr. Ghulam Nabi Azad qualified health professionals at the Public Health Foundation of India as its on December 21, 2012, documented According to the World Health intersectoral, reflecting the experiences and through secondary analytical primary, secondary, and tertiary levels technical partner, and constituted the vast inter- and intra-state differences, Organisation, the building blocks of of stakeholders, ranging from health research projects. Our activities are in both the private and public sectors. National Initiative for Allied Health with public and private facilities health systems are service delivery, providers (public and private) and geared towards understanding the Allied health professionals (AHPs), Sciences (NIAHS) secretariat with the struggling to cope with increasing information and evidence, health policymakers to recipients of care. current situation of health human otherwise known as paramedics in mandate to develop a framework to human resource costs, shortages, commodities such as medical products According to the Alliance for Health resources in the country, health India, can help fill this need and gaps improve allied health training, uneven distribution, and skill-mix and technologies, health workforces, Policy and Systems, HSR “involves the governance, capacity building of in health services. Although the education, and regulation in the imbalances. There is also a need for health financing, and leadership and production of new knowledge to frontline health workers and definitions may vary per country, these country. The terms of reference set by reconfiguring and restructuring the governance. A responsive national improve how societies organize stakeholders in monitoring and health workers are generally involved the health ministry directed the NIAHS allied health space, by creating health system delivers services to all of themselves to achieve health goals.” evaluation activities (M&E), and in providing technical, diagnostic, secretariat to map the allied health dedicated national and regional its citizens in a timely and effective Strengthening India's health system will creation of an enabling environment therapeutic or direct patient care training landscape and the current institutes with the objective of manner. Its role is to maintain and require a closer understanding of its for adoption of Universal Health services, that are distinct from nursing, regulatory framework for various allied nurturing talent, retaining allied health promote health behaviors that improve key constraints: shortage of health Coverage. pharmacy, or medicine. health disciplines. professionals, and providing a distinct the wellbeing of communities, families, workers, effective financing, career path. PHFI was invited by the Ministry of Strengthening and utilizing the allied The final recommendations from PHFI, and individuals. It provides equitable insufficient infrastructure, and lack of Health and Family Welfare to set up an health workforce is a step towards the derived from multiple stakeholder The National Skill Development and quality service to everyone, proper monitoring for promoting Immunization Technical Support Unit goal of attaining an equitable, just, and consultation meetings with over 300 Corporation (NSDC) healthcare sector regardless of their ability to pay for evidence-based policies and decision (ITSU) to assist in strengthening the patient-centered healthcare system. experts, field visits to the various skill council, commissioned a follow-up services, ensuring that families do not making. country's Universal Immunization India has traditionally leaned towards centres of excellence, and a desk study to quantify the industry face medical bankruptcy. PHFI strives to produce evidence- Programme (UIP). . doctor-centered healthcare delivery, review encompassing nationwide perspective on skill gaps amongst AHP Health systems research (HSR) is based data through various descriptive, with little attention paid to materials and modeling activities, were and its impact on employment multidisciplinary and ideally comparative, and evaluation studies specialization in allied health sciences. opportunities in the private sector.

53 54 Through a market-based demand Human Resources analysis, the secretariat documented a huge industry demand for for Health miscellaneous professionals such as general duty assistants and medical If India is to provide Universal Health record technicians. Coverage for its citizens, it must take PHFI recognizes the need to realign stock of the strengths and weaknesses India's human health resources with of its healthcare system. However, such the growing demands of the country. In stocktaking requires excellent research the light of India's struggle with a heavy on health systems, which is sparse. The disease burden coupled with lack of both availability of datasets and socioeconomic problems, deficiencies standardization in variables continue to in human resources ? in terms of pose challenges in conducting large- both skills and numbers ? will be scale reviews of health systems in formidable barriers to healthcare sector general. The challenge is greater reforms. It is of pivotal importance that because the health system comprises these are overcome through initiatives multiple stakeholders, such as medical that address both the scale and quality care providers, medical research of the allied health workforce. One organizations, pharmaceutical and way to do this is to establish an interim medical technology industry, and regulatory structure in the form of a diagnostic and pathological density on health outcomes. A report determinants of delivering quality National Board for Allied Health laboratories. by Anand and Bärnighausen healthcare. A similar study from Chen summarized 2004 WHO data (from a et al. (2004) also explored percentage Sciences (NBAHS). The Government of Even in the absence of adequate combination of 198 countries) to see of deliveries with skilled birth India has appointed PHFI as a research, it is clear that an important the relationship between selected attendants and proportion of children technical and implementing partner in factor that impedes scaling up of health health outcomes and density of health immunized against measles with its creation. NBAHS will develop delivery systems is the less than optimal workers (number of health workers per relation to density of human resources. standardized internationally accepted number of healthcare workers or 1,000 population). The density of They found an association between nomenclature, incorporate skills- and human resources for health (HRH). human resource for healthcare density of human resources with competencies-based curricula, and Only in the last few years has there independently affects health outcomes positive health outcomes and coverage define national occupational standards been a significant interest in the such as maternal mortality and levels. Chen et al. also posits that to further strengthen the allied health statistical impact of human resource workforce. immunization, apart from other having fewer than 2.5 health workers

55 56 Through a market-based demand Human Resources analysis, the secretariat documented a huge industry demand for for Health miscellaneous professionals such as general duty assistants and medical If India is to provide Universal Health record technicians. Coverage for its citizens, it must take PHFI recognizes the need to realign stock of the strengths and weaknesses India's human health resources with of its healthcare system. However, such the growing demands of the country. In stocktaking requires excellent research the light of India's struggle with a heavy on health systems, which is sparse. The disease burden coupled with lack of both availability of datasets and socioeconomic problems, deficiencies standardization in variables continue to in human resources ? in terms of pose challenges in conducting large- both skills and numbers ? will be scale reviews of health systems in formidable barriers to healthcare sector general. The challenge is greater reforms. It is of pivotal importance that because the health system comprises these are overcome through initiatives multiple stakeholders, such as medical that address both the scale and quality care providers, medical research of the allied health workforce. One organizations, pharmaceutical and way to do this is to establish an interim medical technology industry, and regulatory structure in the form of a diagnostic and pathological density on health outcomes. A report determinants of delivering quality National Board for Allied Health laboratories. by Anand and Bärnighausen healthcare. A similar study from Chen summarized 2004 WHO data (from a et al. (2004) also explored percentage Sciences (NBAHS). The Government of Even in the absence of adequate combination of 198 countries) to see of deliveries with skilled birth India has appointed PHFI as a research, it is clear that an important the relationship between selected attendants and proportion of children technical and implementing partner in factor that impedes scaling up of health health outcomes and density of health immunized against measles with its creation. NBAHS will develop delivery systems is the less than optimal workers (number of health workers per relation to density of human resources. standardized internationally accepted number of healthcare workers or 1,000 population). The density of They found an association between nomenclature, incorporate skills- and human resources for health (HRH). human resource for healthcare density of human resources with competencies-based curricula, and Only in the last few years has there independently affects health outcomes positive health outcomes and coverage define national occupational standards been a significant interest in the such as maternal mortality and levels. Chen et al. also posits that to further strengthen the allied health statistical impact of human resource workforce. immunization, apart from other having fewer than 2.5 health workers

55 56 per 1,000 population will not lead to In this regard, People for Health: towards designing a certificate course minimum coverage levels (80 percent) Advancing Human Resources for in Human Resource Management in for the above health indicators. Health In India, is an initiative Public Health in the Distance Learning Ensuring each child becomes a VIP: Vaccinated, Immunized and Protected India's healthcare system is the second supported by the European Union mode. largest employer in the country after under its “Investing in People” thematic PHFI is also making concerted efforts in the education sector. It is also the program and implemented by PHFI. It understanding governance decisions. It is estimated that three million at least 80 percent of children are fully largest service industry in terms of seeks to offer solutions on critical Despite widespread acknowledgement children under the age of five, die each immunized by that age. Although generating revenues. It is estimated that health workforce issues through a that informal and inappropriate posting year of vaccine-preventable diseases India's under-five mortality has declined about four million people (general-duty strengthening of knowledge and cross- and transfer practices have a significant (VPDs) in developing countries. India from an estimated 114.3 per 1,000 doctors, medical specialists, nurses, learning capacity enhancement, and impact on health services and has the largest birth cohort in the world births to an estimated 62.6 per 1,000 dentists, and allied health professionals research and advocacy at the national outcomes, little is known about this with around 27 million new births births between 1990 and 2010, in child such as pharmacists, technicians, and level and in two states, Kerala and complex adaptive system. What is every year. Of these, fewer than 44 survival, India still lags behind other frontline health workers) work in this Madhya Pradesh. known is that it has led to some percent receive the full schedule of countries with similar GDP. sector. But are these numbers adequate After conducting multiple stakeholder skewed distribution of human immunization so crucial in battling for addressing India's health consultations, workshops, and training resources. Rural areas account for child mortality. This is in stark contrast requirements? Managing and needs assessments, PHFI researchers about three-fourths of the country's to Bangladesh, which has managed to developing HRH is crucial in attaining have identified gaps in management disease burden but only have one- raise its child immunization rate to 82 the goal of Universal Health Coverage capacity specifically in quality ninth of the total number of hospital percent by age two, and Nepal where in India and in meeting the objectives assessment, field data management, beds, and only one-fourth of health of the National Rural Health Mission. development and monitoring of block human resources. Urban areas have PHFI recognizes this need and is action plans, and use of Health better accessibility to healthcare, as can conducting various research and Management Information System at the be seen from the availability of hospital outreach activities aimed at district level. We are also identifying beds and healthcare resources. The understanding issues surrounding HRH case studies or best practices in HRH availability of effective beds in such as shortages of capable workers; that can be scaled-up. One way to vulnerable areas is further inadequate management, supervision, address the skills gap is to introduce compromised by shortages of and monitoring skills; and lack of short-term courses that are relevant to healthcare staff or hospitals that are not governance in posting, transfer the work done by various cadres of the equipped to deliver care. Effective practices and promotions of health health workforce and build skills in governance can reduce inequitable officers. some core human resource distribution of health workers in urban management areas. We are working and rural areas.

57 58 per 1,000 population will not lead to In this regard, People for Health: towards designing a certificate course minimum coverage levels (80 percent) Advancing Human Resources for in Human Resource Management in for the above health indicators. Health In India, is an initiative Public Health in the Distance Learning Ensuring each child becomes a VIP: Vaccinated, Immunized and Protected India's healthcare system is the second supported by the European Union mode. largest employer in the country after under its “Investing in People” thematic PHFI is also making concerted efforts in the education sector. It is also the program and implemented by PHFI. It understanding governance decisions. It is estimated that three million at least 80 percent of children are fully largest service industry in terms of seeks to offer solutions on critical Despite widespread acknowledgement children under the age of five, die each immunized by that age. Although generating revenues. It is estimated that health workforce issues through a that informal and inappropriate posting year of vaccine-preventable diseases India's under-five mortality has declined about four million people (general-duty strengthening of knowledge and cross- and transfer practices have a significant (VPDs) in developing countries. India from an estimated 114.3 per 1,000 doctors, medical specialists, nurses, learning capacity enhancement, and impact on health services and has the largest birth cohort in the world births to an estimated 62.6 per 1,000 dentists, and allied health professionals research and advocacy at the national outcomes, little is known about this with around 27 million new births births between 1990 and 2010, in child such as pharmacists, technicians, and level and in two states, Kerala and complex adaptive system. What is every year. Of these, fewer than 44 survival, India still lags behind other frontline health workers) work in this Madhya Pradesh. known is that it has led to some percent receive the full schedule of countries with similar GDP. sector. But are these numbers adequate After conducting multiple stakeholder skewed distribution of human immunization so crucial in battling for addressing India's health consultations, workshops, and training resources. Rural areas account for child mortality. This is in stark contrast requirements? Managing and needs assessments, PHFI researchers about three-fourths of the country's to Bangladesh, which has managed to developing HRH is crucial in attaining have identified gaps in management disease burden but only have one- raise its child immunization rate to 82 the goal of Universal Health Coverage capacity specifically in quality ninth of the total number of hospital percent by age two, and Nepal where in India and in meeting the objectives assessment, field data management, beds, and only one-fourth of health of the National Rural Health Mission. development and monitoring of block human resources. Urban areas have PHFI recognizes this need and is action plans, and use of Health better accessibility to healthcare, as can conducting various research and Management Information System at the be seen from the availability of hospital outreach activities aimed at district level. We are also identifying beds and healthcare resources. The understanding issues surrounding HRH case studies or best practices in HRH availability of effective beds in such as shortages of capable workers; that can be scaled-up. One way to vulnerable areas is further inadequate management, supervision, address the skills gap is to introduce compromised by shortages of and monitoring skills; and lack of short-term courses that are relevant to healthcare staff or hospitals that are not governance in posting, transfer the work done by various cadres of the equipped to deliver care. Effective practices and promotions of health health workforce and build skills in governance can reduce inequitable officers. some core human resource distribution of health workers in urban management areas. We are working and rural areas.

57 58 Recent immunization coverage surveys marketing surveillance systems. with guidance on revamping the Consultation with various stakeholders in India have shown a gradual progress The decades old Expanded Program of organizational structure of UIP and a and community perspectives were in the performance of routine Immunization (EPI), which was strategy for its relaunch. conducted and documented. Best immunizations (RI) over the last few adopted in India as the Universal To further help contribute to data- practices and strategies from high years, but in some states the coverage Immunization Programme also needs a driven and informed policymaking, performing districts within the state is still quite low. Six states with high revamp with the inclusion of certain PHFI is conducting an evaluation study were also documented. population contribute to 80 percent of new vaccines. Decisions on and a thorough assessment of the The Certificate Course in Immunization 8.1 million unimmunized children in implementing new and underutilized benefits and challenges of introducing Practice (CCIP), another capacity the country; 52 percent of the total vaccines require scientific evidence the pentavalent vaccine in India, building initiative started by PHFI, is unimmunized reside in Uttar Pradesh and data, a reliable supply of supported by the Global Alliance for designed to enhance the knowledge, and Bihar. affordable vaccines adapted to the Vaccines and Immunization. PHFI will skills, and core competencies of Several new initiatives like introduction country's immunization schedule, and also undertake a prospective medical practitioners from urban and of hepatitis B vaccine, second dose of an integrated disease monitoring and assessment of the coverage and impact peri-urban areas on immunization. The measles vaccine and pentavalent surveillance system. of pentavalent immunization in India. course also aims to establish a network vaccine (two states), JE vaccine rounds, The Ministry of Health and Family In addition, a situational analysis of the of these medical practitioners for and framing of the National Vaccine Welfare invited PHFI to set up an pneumococcal conjugate vaccine exchange of knowledge. Policy are welcome steps. The Immunization Technical Support Unit (PCV) market is currently underway to PHFI believes that strengthening and challenges and barriers to achieving to assist in strengthening the Universal generate evidence on facilitators and bolstering the UIP machinery with the high immunization rates are well Immunization Programme. ITSU bottlenecks in its utilization in the capacity to ensure high rates of RI is an recognized. The near non-existence of provides the management and private healthcare market in India. The essential step towards reducing India's an effective VPD surveillance system in technical expertise required to create a introduction of the PCV in the UIP and under-five mortality rate. the country has further compounded stronger immunization program fully providing immunization at current the problem. There is an urgent need led by the Government of India. The DPT3 coverage levels can prevent an for induction of innovative methods, principal beneficiaries of this work are estimated 3.2 lakh deaths caused by proper monitoring of programs, the Government of India (primarily bacterial acute lower respiratory improving operational efficiency, MoHFW and UIP), state governments, infection and meningitis. reaching every community, integrated and all parties involved in increasing PHFI has also conducted research in delivery of health interventions along routine immunization quality and Uttar Pradesh on the government with immunization, development of an coverage for India's children. Some of expenditure trends to provide an efficient VPD surveillance system, the core activities of PHFI are setting insight into why large cohorts of monitoring of adverse events following up ITSU and providing the MoHFW children remain unvaccinated. immunization (AEFI), and post-

59 60 Recent immunization coverage surveys marketing surveillance systems. with guidance on revamping the Consultation with various stakeholders in India have shown a gradual progress The decades old Expanded Program of organizational structure of UIP and a and community perspectives were in the performance of routine Immunization (EPI), which was strategy for its relaunch. conducted and documented. Best immunizations (RI) over the last few adopted in India as the Universal To further help contribute to data- practices and strategies from high years, but in some states the coverage Immunization Programme also needs a driven and informed policymaking, performing districts within the state is still quite low. Six states with high revamp with the inclusion of certain PHFI is conducting an evaluation study were also documented. population contribute to 80 percent of new vaccines. Decisions on and a thorough assessment of the The Certificate Course in Immunization 8.1 million unimmunized children in implementing new and underutilized benefits and challenges of introducing Practice (CCIP), another capacity the country; 52 percent of the total vaccines require scientific evidence the pentavalent vaccine in India, building initiative started by PHFI, is unimmunized reside in Uttar Pradesh and data, a reliable supply of supported by the Global Alliance for designed to enhance the knowledge, and Bihar. affordable vaccines adapted to the Vaccines and Immunization. PHFI will skills, and core competencies of Several new initiatives like introduction country's immunization schedule, and also undertake a prospective medical practitioners from urban and of hepatitis B vaccine, second dose of an integrated disease monitoring and assessment of the coverage and impact peri-urban areas on immunization. The measles vaccine and pentavalent surveillance system. of pentavalent immunization in India. course also aims to establish a network vaccine (two states), JE vaccine rounds, The Ministry of Health and Family In addition, a situational analysis of the of these medical practitioners for and framing of the National Vaccine Welfare invited PHFI to set up an pneumococcal conjugate vaccine exchange of knowledge. Policy are welcome steps. The Immunization Technical Support Unit (PCV) market is currently underway to PHFI believes that strengthening and challenges and barriers to achieving to assist in strengthening the Universal generate evidence on facilitators and bolstering the UIP machinery with the high immunization rates are well Immunization Programme. ITSU bottlenecks in its utilization in the capacity to ensure high rates of RI is an recognized. The near non-existence of provides the management and private healthcare market in India. The essential step towards reducing India's an effective VPD surveillance system in technical expertise required to create a introduction of the PCV in the UIP and under-five mortality rate. the country has further compounded stronger immunization program fully providing immunization at current the problem. There is an urgent need led by the Government of India. The DPT3 coverage levels can prevent an for induction of innovative methods, principal beneficiaries of this work are estimated 3.2 lakh deaths caused by proper monitoring of programs, the Government of India (primarily bacterial acute lower respiratory improving operational efficiency, MoHFW and UIP), state governments, infection and meningitis. reaching every community, integrated and all parties involved in increasing PHFI has also conducted research in delivery of health interventions along routine immunization quality and Uttar Pradesh on the government with immunization, development of an coverage for India's children. Some of expenditure trends to provide an efficient VPD surveillance system, the core activities of PHFI are setting insight into why large cohorts of monitoring of adverse events following up ITSU and providing the MoHFW children remain unvaccinated. immunization (AEFI), and post-

59 60 Strengthening health systems through effective evaluation

An evaluation of health initiatives and activities and interventions. This support to government and public interventions is essential to gauge evaluation will provide critical health organizations. Eleven whether current inputs are improving information and guidance to the international and national workshops health outcomes and a program's Government of Bihar and various on impact evaluation of public health effectiveness. The key components of a stakeholders and thus help in making nutrition and HIV and AIDS programs, good evaluation, such as proper data program improvements and scaling-up and GIS application in public health collection and analytics and identifying innovative health delivery models. have been conducted since 2012. The good management practices, can Effective health systems need an workshops have been attended by 240 contribute to effective asset or human educated and skilled workforce. PHFI participants from the Southeast Asian resource allocation, which is especially has conducted capacity building Region. Through these training critical in resource-poor or exercises that enrich the knowledge sessions, those in the field are better underserved areas in the country. and toolkits of frontline health workers, equipped to communicate the Periodic assessments can become tools especially their ability to evaluate, challenges, ground realities, and the for leaders to adapt and respond to the analyze, and interpret and opportunities for change that they evolving needs of its citizenry. communicate information. PHFI's encounter in their day-to-day work to PHFI, in collaboration with the Bill & Training Division has established a stakeholders and policymakers. Melinda Gates Foundation, is partnership with MEASURE Evaluation, PHFI is also in the process of conducting an evaluation of Family University of North Carolina, to developing a virtual certificate course Health Initiative Bihar (also known as develop and implement capacity on Monitoring and Evaluation of the Ananya program), which employs building programs in Monitoring and Health Programs. an integrated demand-and supply-side Evaluation for the Southeast Asia approach to reducing maternal and Region. These training programs are child mortality, as well as improving conducted for health professionals key nutrition and health outcomes. The involved in M&E activities, routine evaluation has several components that health information systems, and in the provide information for successful areas of impact evaluation and scaling up, impact assessment, and a geographic information systems (GIS). cost-effectiveness analysis of the The partnership also provides technical

61 62 Strengthening health systems through effective evaluation

An evaluation of health initiatives and activities and interventions. This support to government and public interventions is essential to gauge evaluation will provide critical health organizations. Eleven whether current inputs are improving information and guidance to the international and national workshops health outcomes and a program's Government of Bihar and various on impact evaluation of public health effectiveness. The key components of a stakeholders and thus help in making nutrition and HIV and AIDS programs, good evaluation, such as proper data program improvements and scaling-up and GIS application in public health collection and analytics and identifying innovative health delivery models. have been conducted since 2012. The good management practices, can Effective health systems need an workshops have been attended by 240 contribute to effective asset or human educated and skilled workforce. PHFI participants from the Southeast Asian resource allocation, which is especially has conducted capacity building Region. Through these training critical in resource-poor or exercises that enrich the knowledge sessions, those in the field are better underserved areas in the country. and toolkits of frontline health workers, equipped to communicate the Periodic assessments can become tools especially their ability to evaluate, challenges, ground realities, and the for leaders to adapt and respond to the analyze, and interpret and opportunities for change that they evolving needs of its citizenry. communicate information. PHFI's encounter in their day-to-day work to PHFI, in collaboration with the Bill & Training Division has established a stakeholders and policymakers. Melinda Gates Foundation, is partnership with MEASURE Evaluation, PHFI is also in the process of conducting an evaluation of Family University of North Carolina, to developing a virtual certificate course Health Initiative Bihar (also known as develop and implement capacity on Monitoring and Evaluation of the Ananya program), which employs building programs in Monitoring and Health Programs. an integrated demand-and supply-side Evaluation for the Southeast Asia approach to reducing maternal and Region. These training programs are child mortality, as well as improving conducted for health professionals key nutrition and health outcomes. The involved in M&E activities, routine evaluation has several components that health information systems, and in the provide information for successful areas of impact evaluation and scaling up, impact assessment, and a geographic information systems (GIS). cost-effectiveness analysis of the The partnership also provides technical

61 62 Health Systems and Policy

Access, Bottleneck, Costs, and Pradesh, Gujarat, Madhya Pradesh, extensive experience and expansive the National Rural Health Mission to Equity (ABCE) project Odisha, and Tamil Nadu. Data outreach in community-based health address primary healthcare delivery. collection has been completed in two programs and health advocacy. The However, many interventions remain The ABCE project, being conducted in states and is being planned for the purpose of the centre is to strengthen fragmented due to the vertical nature collaboration with the Institute for remaining states. research, capacity building, advocacy, of the programs, resulting in replication Health Metrics and Evaluation, is a and policies relating to alcohol control of services and the lack of an organized multicountry initiative to collect and Centre of Excellence in Alcohol in India. task-sharing system to maximize limited analyze costs and constraints Control (COE-AC) resources. As the country moves information on public health facilities. To combat the alarming health towards implementing a larger In India, PHFI will organize the Developing an essential health geographical diversity. UHC must also consequences of growing alcohol Identifying operational framework for UHC, the nature and collection of primary data at a range of strike a balance between pre-existent consumption in India, there is an distribution of existing health programs package for primary healthcare health facilities across five pathways for integrating and future investments. A phased urgent need to establish policy must be taken into account. PHFI is services in states representative Indian states. By National Disease Control approach with a series of pilot projects priorities for alcohol control and shape playing an important role in identifying providing quality evidence for programs As India gets set to rollout the UHC would provide a good scope for an evidence-informed alcohol policy. operational pathways for improving the equity and cost- initiative, the phased approach learning and for improving the In this context, an important initiative The goal of Universal Health Coverage, accommodating and integrating effectiveness of health systems, it will advocated in the Twelfth Five Year Plan scheme. Since health is a state subject, is an Indo-Swedish collaboration in the a widely shared global health agenda, National Disease Control Programs help develop the next generation of is necessary for many reasons. All the the states need to undergo preparation field of public health and alcohol is to ensure that all people obtain the within the framework for UHC. Such tools to inform equity-focused policy states are not in position to bear the to understand the fiscal implications of policy that will lead to the health services they need without integration can resolve health system and strategy choices by simultaneously expenditure required for implementing the scheme, be equipped with the establishment of a CoE-AC. This is suffering financial hardship when inefficiencies and forms a key considering both supply and demand. UHC and the other fiscal ability to plan and manage the being jointly implemented by the paying for them. The UHC policy for component in implementing UHC. It is The results of this study, which will be implications.Therefore, initially only implementation of the scheme, and Public Health Foundation of India and India aims to meet the healthcare essential both for setting health available in the public domain, will tier one states will implement it. further contextualize it based on their its partner, HRIDAY, in collaboration needs of its population thorough a priorities for UHC and for sharing of support policymakers and national The phased approach is also necessary requirement. The preparation and with the Swedish National Institute of publicly financed scheme. This effort data that will determine key stakeholders who are involved in for ensuring that the design and piloting experience of a few states will Public Health (SNIPH). The project may, however, be hindered by a weak components of the National Health planning, prioritizing, and evaluating implementation of UHC are sensitive provide learning lessons for scaling up aims to foster strategic partnerships public health system. India currently Package. universal access to health systems. The and properly aligned to deal with the the scheme in the rest of the states. with key organizations which have has 13 disease control programs under project will be conducted in Andhra challenges of a vast population and The Planning Commission's approach

63 64 Health Systems and Policy

Access, Bottleneck, Costs, and Pradesh, Gujarat, Madhya Pradesh, extensive experience and expansive the National Rural Health Mission to Equity (ABCE) project Odisha, and Tamil Nadu. Data outreach in community-based health address primary healthcare delivery. collection has been completed in two programs and health advocacy. The However, many interventions remain The ABCE project, being conducted in states and is being planned for the purpose of the centre is to strengthen fragmented due to the vertical nature collaboration with the Institute for remaining states. research, capacity building, advocacy, of the programs, resulting in replication Health Metrics and Evaluation, is a and policies relating to alcohol control of services and the lack of an organized multicountry initiative to collect and Centre of Excellence in Alcohol in India. task-sharing system to maximize limited analyze costs and constraints Control (COE-AC) resources. As the country moves information on public health facilities. To combat the alarming health towards implementing a larger In India, PHFI will organize the Developing an essential health geographical diversity. UHC must also consequences of growing alcohol Identifying operational framework for UHC, the nature and collection of primary data at a range of strike a balance between pre-existent consumption in India, there is an distribution of existing health programs package for primary healthcare health facilities across five pathways for integrating and future investments. A phased urgent need to establish policy must be taken into account. PHFI is services in states representative Indian states. By National Disease Control approach with a series of pilot projects priorities for alcohol control and shape playing an important role in identifying providing quality evidence for programs As India gets set to rollout the UHC would provide a good scope for an evidence-informed alcohol policy. operational pathways for improving the equity and cost- initiative, the phased approach learning and for improving the In this context, an important initiative The goal of Universal Health Coverage, accommodating and integrating effectiveness of health systems, it will advocated in the Twelfth Five Year Plan scheme. Since health is a state subject, is an Indo-Swedish collaboration in the a widely shared global health agenda, National Disease Control Programs help develop the next generation of is necessary for many reasons. All the the states need to undergo preparation field of public health and alcohol is to ensure that all people obtain the within the framework for UHC. Such tools to inform equity-focused policy states are not in position to bear the to understand the fiscal implications of policy that will lead to the health services they need without integration can resolve health system and strategy choices by simultaneously expenditure required for implementing the scheme, be equipped with the establishment of a CoE-AC. This is suffering financial hardship when inefficiencies and forms a key considering both supply and demand. UHC and the other fiscal ability to plan and manage the being jointly implemented by the paying for them. The UHC policy for component in implementing UHC. It is The results of this study, which will be implications.Therefore, initially only implementation of the scheme, and Public Health Foundation of India and India aims to meet the healthcare essential both for setting health available in the public domain, will tier one states will implement it. further contextualize it based on their its partner, HRIDAY, in collaboration needs of its population thorough a priorities for UHC and for sharing of support policymakers and national The phased approach is also necessary requirement. The preparation and with the Swedish National Institute of publicly financed scheme. This effort data that will determine key stakeholders who are involved in for ensuring that the design and piloting experience of a few states will Public Health (SNIPH). The project may, however, be hindered by a weak components of the National Health planning, prioritizing, and evaluating implementation of UHC are sensitive provide learning lessons for scaling up aims to foster strategic partnerships public health system. India currently Package. universal access to health systems. The and properly aligned to deal with the the scheme in the rest of the states. with key organizations which have has 13 disease control programs under project will be conducted in Andhra challenges of a vast population and The Planning Commission's approach

63 64 HPSR and Implementation Research programmatic, and organizational paper to the Twelfth Plan on health Nodal institution for health towards achieving health goals; and (e) responses. Institutional capacity with proposes a series of pilots (in all states) policy and system research working with relevant stakeholders to respect to competence and advocacy that will rollout an essential health The increasing importance of health scale-up effective interventions. The aimed at improving maternal health, package for UHC to begin incremental systems research in improving the project activities also include providing will be strengthened by developing and coverage within this plan period. PHFI effectiveness of health systems, has support to young health systems using high quality case studies of proposes to inform the process of the highlighted the need for appropriate researchers through mentorship and successful innovations. The objectives UHC rollout through research, research for improved program small grants. of the project are: (a) development of consultation, and technical assistance. implementation and informed case studies through print and PHFI's work will build on the Planning At a national-level consultation on policymaking. There has been a audiovisual documentation of Commission document on the next promoting health systems research held growing interest in developing regional innovative experiences in public health steps for progression of UHC in India. in New Delhi, policymakers, and national platforms for bringing that provide important learning for It will balance the benefits of existing researchers, program managers, and health systems researchers together to public health practice, with a focus on institutions and frameworks against the other stakeholders from across the focus on making their research more improving maternal health; (b) new investments needed to implement country came together for a day-long relevant and usable by policymakers. incorporation of these case studies as UHC. India's vast population, discussion. Policymakers indicated a WHO's Implementation Research teaching /training materials in the geographical diversity, and health strong interest in investing in HSR. In Platform and the Alliance for Health curriculum of not only PHFI and its inequities imply that there is no single addition, PHFI conducted a review of Policy and Systems Research are network of Indian Institutes of Public path to achieve UHC for India. In health systems research undertaken on establishing Nodal Institutes in select Health, but also those of medical and order to simultaneously ensure for the and in India over the last eight years. countries and regions. As the Nodal nursing colleges and other public poor and vulnerable equitable access Institute for India, the Public Health health institutions for public health to health as well as protection against Foundation of India is engaging with professionals, as well as the in-service catastrophic healthcare costs, India will Developing case studies of relevant academic/research institutions training programs of government at need to determine an appropriate innovations in public health towards (a) developing capacity in state, district, and facility levels and balance between prioritizing primary HPSR; (b) mapping of health systems The overall goal of the project is to those run by non-governmental health and expanding access to research in the relevant geographical strengthen institutional capacity for organizations; and (c) utilization of insurance for secondary and tertiary areas; (c) convening national/regional accelerating the decline in the these case studies for advocacy with care, which have the potential to cause level meetings to bring together maternal mortality ratio and, over time, senior policymakers, program financial harm to households paying policymakers, researchers, and other to sustain a very low maternal mortality managers, and professional leaders. out-of-pocket. stakeholders; (d) promoting the use of regime through appropriate technical,

65 66 HPSR and Implementation Research programmatic, and organizational paper to the Twelfth Plan on health Nodal institution for health towards achieving health goals; and (e) responses. Institutional capacity with proposes a series of pilots (in all states) policy and system research working with relevant stakeholders to respect to competence and advocacy that will rollout an essential health The increasing importance of health scale-up effective interventions. The aimed at improving maternal health, package for UHC to begin incremental systems research in improving the project activities also include providing will be strengthened by developing and coverage within this plan period. PHFI effectiveness of health systems, has support to young health systems using high quality case studies of proposes to inform the process of the highlighted the need for appropriate researchers through mentorship and successful innovations. The objectives UHC rollout through research, research for improved program small grants. of the project are: (a) development of consultation, and technical assistance. implementation and informed case studies through print and PHFI's work will build on the Planning At a national-level consultation on policymaking. There has been a audiovisual documentation of Commission document on the next promoting health systems research held growing interest in developing regional innovative experiences in public health steps for progression of UHC in India. in New Delhi, policymakers, and national platforms for bringing that provide important learning for It will balance the benefits of existing researchers, program managers, and health systems researchers together to public health practice, with a focus on institutions and frameworks against the other stakeholders from across the focus on making their research more improving maternal health; (b) new investments needed to implement country came together for a day-long relevant and usable by policymakers. incorporation of these case studies as UHC. India's vast population, discussion. Policymakers indicated a WHO's Implementation Research teaching /training materials in the geographical diversity, and health strong interest in investing in HSR. In Platform and the Alliance for Health curriculum of not only PHFI and its inequities imply that there is no single addition, PHFI conducted a review of Policy and Systems Research are network of Indian Institutes of Public path to achieve UHC for India. In health systems research undertaken on establishing Nodal Institutes in select Health, but also those of medical and order to simultaneously ensure for the and in India over the last eight years. countries and regions. As the Nodal nursing colleges and other public poor and vulnerable equitable access Institute for India, the Public Health health institutions for public health to health as well as protection against Foundation of India is engaging with professionals, as well as the in-service catastrophic healthcare costs, India will Developing case studies of relevant academic/research institutions training programs of government at need to determine an appropriate innovations in public health towards (a) developing capacity in state, district, and facility levels and balance between prioritizing primary HPSR; (b) mapping of health systems The overall goal of the project is to those run by non-governmental health and expanding access to research in the relevant geographical strengthen institutional capacity for organizations; and (c) utilization of insurance for secondary and tertiary areas; (c) convening national/regional accelerating the decline in the these case studies for advocacy with care, which have the potential to cause level meetings to bring together maternal mortality ratio and, over time, senior policymakers, program financial harm to households paying policymakers, researchers, and other to sustain a very low maternal mortality managers, and professional leaders. out-of-pocket. stakeholders; (d) promoting the use of regime through appropriate technical,

65 66 The project activities have all been reforms. The Grassroots Organizations The third edition of Disease Control of hospital care is that it should cause completed successfully. Twenty three component also includes Priorities in Developing Countries no harm to the patient, many patients case studies of innovations along with implementation of an institutional (DCP3) will provide the most up-to- acquire infections while in hospital . films were disseminated to nearly 200 support package for village health date evidence on intervention efficacy The reasons for this include poor participants over five workshops across committees in Tamil Nadu, under the and program effectiveness for the environmental sanitation and India. All the case studies were put VOICES implementation research leading causes of global disease overcrowding in hospitals, invasive together as a manuscript, which was project in partnership with the World burden. It will go beyond previous procedures, longer length of stay, accepted and approved by a peer Health Organisation, the National efforts by providing systematic compromised immune status of reviewer. The book is expected to be Rural Health Mission, and the National economic evaluation of policy choices patients, and failure of healthcare published by November 2013. A Health Systems Resource Centre. affecting the access, update, and workers to wash their hands between scaling up exercise will also be quality of interventions and delivery patients or before procedures. This undertaken. platforms for low- and middleincome project aims to enable hospital Disease Control Priorities countries. DCP3 will introduce new representatives to manage infection Network (DCPN) extended cost-effectiveness analysis control independently; gather accurate Preparing states in India for (ECEA) methods to assess the equity surveillance and cost data to The objective of DCPN is to produce and financial protection considerations demonstrate the favorable economics Universal Health Coverage definitive technical publications, based of health and macroeconomic policies of investing in an infection-control The focus of this project is on the on extensive analytical work and for extending coverage of proven program; conduct appropriate rollout of UHC in select Indian states, consultations with technical experts effective interventions to prevent and dissemination, leading to setting of through research, consultations, and and policymakers from around the treat infectious and chronic diseases, national norms and policy changes on technical assistance. Through this world, to inform national and global including conditions related to infection-control practices; and to project, PHFI intends to develop a level health policymaking. DCPN aims environmental health, trauma, and serve as a starting point for the benchmark to start UHC to improve the allocation of health mental disorders. establishment of a national data implementation, develop an essential resources across a wide range of repository on patient safety and quality health package, provide fiscal need investment options, including metrics. projection, investigate the interventions, service delivery platforms Training, technical assistance, preparedness of grassroot level (e.g. community health clinics, and measurement of the institutions for Universal Health hospitals, public health services), and institutional impact of Coverage and facilitate their research and development of new community oversight, and advise health technologies. infection control practices UHC-ready states on governance Although one of the cardinal principles

67 68 The project activities have all been reforms. The Grassroots Organizations The third edition of Disease Control of hospital care is that it should cause completed successfully. Twenty three component also includes Priorities in Developing Countries no harm to the patient, many patients case studies of innovations along with implementation of an institutional (DCP3) will provide the most up-to- acquire infections while in hospital . films were disseminated to nearly 200 support package for village health date evidence on intervention efficacy The reasons for this include poor participants over five workshops across committees in Tamil Nadu, under the and program effectiveness for the environmental sanitation and India. All the case studies were put VOICES implementation research leading causes of global disease overcrowding in hospitals, invasive together as a manuscript, which was project in partnership with the World burden. It will go beyond previous procedures, longer length of stay, accepted and approved by a peer Health Organisation, the National efforts by providing systematic compromised immune status of reviewer. The book is expected to be Rural Health Mission, and the National economic evaluation of policy choices patients, and failure of healthcare published by November 2013. A Health Systems Resource Centre. affecting the access, update, and workers to wash their hands between scaling up exercise will also be quality of interventions and delivery patients or before procedures. This undertaken. platforms for low- and middleincome project aims to enable hospital Disease Control Priorities countries. DCP3 will introduce new representatives to manage infection Network (DCPN) extended cost-effectiveness analysis control independently; gather accurate Preparing states in India for (ECEA) methods to assess the equity surveillance and cost data to The objective of DCPN is to produce and financial protection considerations demonstrate the favorable economics Universal Health Coverage definitive technical publications, based of health and macroeconomic policies of investing in an infection-control The focus of this project is on the on extensive analytical work and for extending coverage of proven program; conduct appropriate rollout of UHC in select Indian states, consultations with technical experts effective interventions to prevent and dissemination, leading to setting of through research, consultations, and and policymakers from around the treat infectious and chronic diseases, national norms and policy changes on technical assistance. Through this world, to inform national and global including conditions related to infection-control practices; and to project, PHFI intends to develop a level health policymaking. DCPN aims environmental health, trauma, and serve as a starting point for the benchmark to start UHC to improve the allocation of health mental disorders. establishment of a national data implementation, develop an essential resources across a wide range of repository on patient safety and quality health package, provide fiscal need investment options, including metrics. projection, investigate the interventions, service delivery platforms Training, technical assistance, preparedness of grassroot level (e.g. community health clinics, and measurement of the institutions for Universal Health hospitals, public health services), and institutional impact of Coverage and facilitate their research and development of new community oversight, and advise health technologies. infection control practices UHC-ready states on governance Although one of the cardinal principles

67 68 Other Projects Other Projects

Title Funding Body Title Funding Body

Developing Case Studies of Innovations in Public Health Evidence for Policy and Implementation - Intensifying Efforts to for Competency Strengthening and Advocacy MacArthur Foundation Achieve Health-Related MDGs in Four Countries with Developing Economies (Epi-4) Karolinska Institute Evaluation of the Bihar Family Health Initiative Mathematica Policy Research Incorporated and BMGF Development of National Occupational Standards for Job Roles in PHFI Annual Urban Health Landscape Report PHFI Allied Healthcare and Paramedics Accenture Services Organization's Evaluation of a Project to Deliver Comprehensive Health Promotions: Physical Activity and Aging Sexual and Reproductive Health Information and Services [Research Fellowship to Dr Josyula K. Lakshmi (Fellowship - 2012)] Indo-U.S. Science and Technology Forum to Young People In The State of Gujarat Macarthur Foundation Assessment of Free Medicine Initiative In Rajasthan World Health Organization Setting Priorities in Health - A Reasoned Approach IDRC Prepare A Report On Sha 2011 Workshop In Bangkok World Health Organization India Research Site Landscape Analysis BMGF Churachandpur District Hospital Performance Improvement Project MOHFW, Government of Manipur Health Governance Hub Oxfam India Universal Health Coverage as a Sustainable Development Goal: Health Governance for Universal Health Coverage India Deloitte Touche Tohmatsu India Thematic Working Group of the United Nation's Leadership Council IDRC and Department of International Development Perceptions of Health Decision-Makers Regarding WHO Regional Governance in South East Asia The Royal Institute of International Affairs Study on Technical Assistance to Ministries of Health WHO Pensions, Health and Wellbeing of Older People In Developing Countries: Insights From The WHO Sage University Of East Angila Of The Registry & ( Study On Global Ageing And Adult Health) Survey National Council Research Institute Of Neuroscience Strengthening Immunization Services In India. The Regents Of The University Of Michigan Human Resource For Health: Policy Framework Karnataka State Health System Resource Centre, Government Of Karnataka Developing Innovative Methods to Enhance the Utility of the Health Information System of India in Understanding Disease Burden and in Evaluating the Impact of Population Health Intervention Indian Council of Medical Research

69 70 Other Projects Other Projects

Title Funding Body Title Funding Body

Developing Case Studies of Innovations in Public Health Evidence for Policy and Implementation - Intensifying Efforts to for Competency Strengthening and Advocacy MacArthur Foundation Achieve Health-Related MDGs in Four Countries with Developing Economies (Epi-4) Karolinska Institute Evaluation of the Bihar Family Health Initiative Mathematica Policy Research Incorporated and BMGF Development of National Occupational Standards for Job Roles in PHFI Annual Urban Health Landscape Report PHFI Allied Healthcare and Paramedics Accenture Services Organization's Evaluation of a Project to Deliver Comprehensive Health Promotions: Physical Activity and Aging Sexual and Reproductive Health Information and Services [Research Fellowship to Dr Josyula K. Lakshmi (Fellowship - 2012)] Indo-U.S. Science and Technology Forum to Young People In The State of Gujarat Macarthur Foundation Assessment of Free Medicine Initiative In Rajasthan World Health Organization Setting Priorities in Health - A Reasoned Approach IDRC Prepare A Report On Sha 2011 Workshop In Bangkok World Health Organization India Research Site Landscape Analysis BMGF Churachandpur District Hospital Performance Improvement Project MOHFW, Government of Manipur Health Governance Hub Oxfam India Universal Health Coverage as a Sustainable Development Goal: Health Governance for Universal Health Coverage India Deloitte Touche Tohmatsu India Thematic Working Group of the United Nation's Leadership Council IDRC and Department of International Development Perceptions of Health Decision-Makers Regarding WHO Regional Governance in South East Asia The Royal Institute of International Affairs Study on Technical Assistance to Ministries of Health WHO Pensions, Health and Wellbeing of Older People In Developing Countries: Insights From The WHO Sage University Of East Angila Of The Registry & ( Study On Global Ageing And Adult Health) Survey National Council Research Institute Of Neuroscience Strengthening Immunization Services In India. The Regents Of The University Of Michigan Human Resource For Health: Policy Framework Karnataka State Health System Resource Centre, Government Of Karnataka Developing Innovative Methods to Enhance the Utility of the Health Information System of India in Understanding Disease Burden and in Evaluating the Impact of Population Health Intervention Indian Council of Medical Research

69 70 If we don't create the future, the present extends itself

Toni Morrisson

71 72 If we don't create the future, the present extends itself

Toni Morrisson

71 72 Reducing the public Non-Communicable Diseases health burden of diabetes

Type 2 diabetes is now a common and serious global health problem. In most countries, it has evolved in association with rapid cultural and social changes, Non-communicable diseases (NCDs), diminishing opportunities for other PHFI is actively working towards aging populations, increasing pose major health and economic activities, such as children's education. combating NCDs in India through urbanization, dietary changes, reduced challenges for low- and middle-income Cardiovascular diseases, cancers, surveillance of NCDs, preventive physical activity, and a pattern of other countries (LMICs) such as India. In fact, respiratory diseases, and diabetes programs, developing care models unhealthy lifestyle behaviors. India has according to WHO, 80 percent of NCD account for around 80 percent of all (including the use of health the highest number of people with deaths ? 29 million ? occur in NCD deaths worldwide. All of them, technologies), capacity building in diabetes in the world, with an LMICs. and most of the other NCDs, have research and patient care, and policy estimated 50.9 million in 2010 and advocacy. These diseases affect South Asians in common risk factors: tobacco use, predicted to increase to 80 million by the prime, economically active age physical inactivity, the harmful use of 2030. Recognizing the huge burden of range (25-64), and as a result, human alcohol, and unhealthy diets. the impact of diabetes on the country's capital losses and high medical Since these are all controllable lifestyle health system and economy, PHFI has expenditures stifle economic factors, they are potentially amenable been actively involved in generating development and perpetuate poverty, to prevention. In order to implement relevant epidemiological data for not just for the individual victims and effective interventions, it is important informed policy decisions and capacity their families but also for the nation. to understand the patterns of lifestyles building for care delivery and research. Premature mortality and lost and health behaviors, the individual PHFI is implementing a comprehensive productivity due to cardiovascular and and societal level factors associated diabetes prevention and management diabetes deaths have resulted in with these behaviors, and how macro research program, UDAY, in two US$267 billion in national income transitions (economic, demographic, districts –in Vizag in Andhra Pradesh losses for India in the past decade. nutrition, cultural) across India are and Sonipat in Haryana. The study will Individuals with diabetes, for example, affecting these patterns. determine the following: spend 10 to 25 percent of the household's income on care, thus

73 74 Reducing the public Non-Communicable Diseases health burden of diabetes

Type 2 diabetes is now a common and serious global health problem. In most countries, it has evolved in association with rapid cultural and social changes, Non-communicable diseases (NCDs), diminishing opportunities for other PHFI is actively working towards aging populations, increasing pose major health and economic activities, such as children's education. combating NCDs in India through urbanization, dietary changes, reduced challenges for low- and middle-income Cardiovascular diseases, cancers, surveillance of NCDs, preventive physical activity, and a pattern of other countries (LMICs) such as India. In fact, respiratory diseases, and diabetes programs, developing care models unhealthy lifestyle behaviors. India has according to WHO, 80 percent of NCD account for around 80 percent of all (including the use of health the highest number of people with deaths ? 29 million ? occur in NCD deaths worldwide. All of them, technologies), capacity building in diabetes in the world, with an LMICs. and most of the other NCDs, have research and patient care, and policy estimated 50.9 million in 2010 and advocacy. These diseases affect South Asians in common risk factors: tobacco use, predicted to increase to 80 million by the prime, economically active age physical inactivity, the harmful use of 2030. Recognizing the huge burden of range (25-64), and as a result, human alcohol, and unhealthy diets. the impact of diabetes on the country's capital losses and high medical Since these are all controllable lifestyle health system and economy, PHFI has expenditures stifle economic factors, they are potentially amenable been actively involved in generating development and perpetuate poverty, to prevention. In order to implement relevant epidemiological data for not just for the individual victims and effective interventions, it is important informed policy decisions and capacity their families but also for the nation. to understand the patterns of lifestyles building for care delivery and research. Premature mortality and lost and health behaviors, the individual PHFI is implementing a comprehensive productivity due to cardiovascular and and societal level factors associated diabetes prevention and management diabetes deaths have resulted in with these behaviors, and how macro research program, UDAY, in two US$267 billion in national income transitions (economic, demographic, districts –in Vizag in Andhra Pradesh losses for India in the past decade. nutrition, cultural) across India are and Sonipat in Haryana. The study will Individuals with diabetes, for example, affecting these patterns. determine the following: spend 10 to 25 percent of the household's income on care, thus

73 74 Providing evidence for promoting better lifestyles and reducing cardiovascular risks

! the prevalence of diabetes and ! healthcare provider training in Nearly 3,000 primary and secondary Cardiovascular diseases (CVDs) are diseases. The Public Health Foundation landmark epidemiological studies, such hypertension, evidence-based guidelines, care physicians have successfully responsible for approximately one- of India is undertaking several research as the CARRS Surveillance study (a ! knowledge about both conditions ! quality improvement program, trained under this program and third of deaths worldwide. The risk and capacity-building initiatives aiming cohort-modeled population survey of another 2,500 physicians are being factors for CVD — primarily abnormal at CVD risk reduction. These address 16,000 adults in three metropolitan among the general population and ! use of low-cost m-health trained currently. Further, PHFI has just blood fat, high blood pressure, obesity, the dearth of research capacity, cities in South Asia) and the Solan patients, technology, begun another on-job-training program diabetes, physical inactivity, poor diet, inadequate surveillance data, gaps in Surveillance study (covering 40,000 ! healthcare providers diabetes and ! advocacy to improve access to care (Certificate Course in Gestational and smoking — continue to increase implementation of proven adults in rural Himachal Pradesh), hypertension management The program, encompassing the whole Diabetes Mellitus) to develop core disproportionately in several regions of interventions, as well as heterogeneity which aim to develop a model practices, continuum of care from prevention to skills and need=based competencies the world. Less developed countries in access and care delivery for surveillance system for cardiometabolic ! access to diabetes and hypertension management, will not only improve in primary care physicians, are experiencing these diseases at cardiovascular diseases in the region. diseases in developing country settings. treatment, healthcare outcomes but also provide obstetricians, and gynaecologists for younger ages and increasingly in lower The Future Faculty Programme of PHFI (PHFI will subsequently implement key insights into care pathways that can the practice of Gestational Diabetes socioeconomic groups. has identified and trained several PHFI has also been actively involved in and evaluate a multicomponent, be scaled up to improve diabetes and Mellitus Management. doctoral-level researchers in In India, CVDs alone cause nearly two developing strategies that reduce multilevel, comprehensive hypertension management in India. epidemiology, health system research, million deaths annually and account cardiovascular risk at the population intervention program to improve and implementation research, with To build human resource capacity in for around one-fourth of all deaths. level in India. PHFI has designed a the prevention, detection, and special focus on CVDs. PHFI's Centre diabetes management, PHFI has Between 2005 and 2015, India is three-year project entitled 'Developing management of diabetes and for CArdiometabolic Risk Reduction in successfully conducted a Certificate projected to cumulatively lose US$ the evidence base for a national salt hypertension.his was a bulleted South Asia (CARRS) is one of the 12 Course in Evidence-Based Diabetes 236.6 billion because of heart disease, reduction program for India' with the item – have changed) Centres of Excellence in Global Health Management, a uniquely designed stroke, and diabetes, an amount overall goal of forming the ! It will involve the following: Activities in Developing Countries to once-a-month training program for equivalent to 1 percent of the GDP. In development of a national salt Combat Non-Communicable Chronic ! public education using social physicians at primary and secondary 2000, India lost 9.2 million years of reduction strategy for India. The Cardiovascular and Pulmonary marketing strategies, care levels. The objectives of the productive life among individuals in objective is to conduct an integrated, Diseases identified and funded by the course are to develop core skills and the age group of 35 to 64, almost six multifaceted research program ! targeted screening, National Heart Lung Blood Institute competencies among physicians for the times the figure for the United States. consisting of qualitative stakeholder ! tailored patient education, and the United Health Group. As part practice of evidence-based diabetes Research is needed to generate assessments, quantitative population of this ongoing initiative, PHFI has ! task-shifting to community health management. evidence to frame policies aimed at surveys, and food supply evaluations designed and implemented several workers, conducting a crusade against these

75 76 Providing evidence for promoting better lifestyles and reducing cardiovascular risks

! the prevalence of diabetes and ! healthcare provider training in Nearly 3,000 primary and secondary Cardiovascular diseases (CVDs) are diseases. The Public Health Foundation landmark epidemiological studies, such hypertension, evidence-based guidelines, care physicians have successfully responsible for approximately one- of India is undertaking several research as the CARRS Surveillance study (a ! knowledge about both conditions ! quality improvement program, trained under this program and third of deaths worldwide. The risk and capacity-building initiatives aiming cohort-modeled population survey of another 2,500 physicians are being factors for CVD — primarily abnormal at CVD risk reduction. These address 16,000 adults in three metropolitan among the general population and ! use of low-cost m-health trained currently. Further, PHFI has just blood fat, high blood pressure, obesity, the dearth of research capacity, cities in South Asia) and the Solan patients, technology, begun another on-job-training program diabetes, physical inactivity, poor diet, inadequate surveillance data, gaps in Surveillance study (covering 40,000 ! healthcare providers diabetes and ! advocacy to improve access to care (Certificate Course in Gestational and smoking — continue to increase implementation of proven adults in rural Himachal Pradesh), hypertension management The program, encompassing the whole Diabetes Mellitus) to develop core disproportionately in several regions of interventions, as well as heterogeneity which aim to develop a model practices, continuum of care from prevention to skills and need=based competencies the world. Less developed countries in access and care delivery for surveillance system for cardiometabolic ! access to diabetes and hypertension management, will not only improve in primary care physicians, are experiencing these diseases at cardiovascular diseases in the region. diseases in developing country settings. treatment, healthcare outcomes but also provide obstetricians, and gynaecologists for younger ages and increasingly in lower The Future Faculty Programme of PHFI (PHFI will subsequently implement key insights into care pathways that can the practice of Gestational Diabetes socioeconomic groups. has identified and trained several PHFI has also been actively involved in and evaluate a multicomponent, be scaled up to improve diabetes and Mellitus Management. doctoral-level researchers in In India, CVDs alone cause nearly two developing strategies that reduce multilevel, comprehensive hypertension management in India. epidemiology, health system research, million deaths annually and account cardiovascular risk at the population intervention program to improve and implementation research, with To build human resource capacity in for around one-fourth of all deaths. level in India. PHFI has designed a the prevention, detection, and special focus on CVDs. PHFI's Centre diabetes management, PHFI has Between 2005 and 2015, India is three-year project entitled 'Developing management of diabetes and for CArdiometabolic Risk Reduction in successfully conducted a Certificate projected to cumulatively lose US$ the evidence base for a national salt hypertension.his was a bulleted South Asia (CARRS) is one of the 12 Course in Evidence-Based Diabetes 236.6 billion because of heart disease, reduction program for India' with the item – have changed) Centres of Excellence in Global Health Management, a uniquely designed stroke, and diabetes, an amount overall goal of forming the ! It will involve the following: Activities in Developing Countries to once-a-month training program for equivalent to 1 percent of the GDP. In development of a national salt Combat Non-Communicable Chronic ! public education using social physicians at primary and secondary 2000, India lost 9.2 million years of reduction strategy for India. The Cardiovascular and Pulmonary marketing strategies, care levels. The objectives of the productive life among individuals in objective is to conduct an integrated, Diseases identified and funded by the course are to develop core skills and the age group of 35 to 64, almost six multifaceted research program ! targeted screening, National Heart Lung Blood Institute competencies among physicians for the times the figure for the United States. consisting of qualitative stakeholder ! tailored patient education, and the United Health Group. As part practice of evidence-based diabetes Research is needed to generate assessments, quantitative population of this ongoing initiative, PHFI has ! task-shifting to community health management. evidence to frame policies aimed at surveys, and food supply evaluations designed and implemented several workers, conducting a crusade against these

75 76 Addressing mental health needs through effective promotion, prevention and intervention

Mental, neurological and substance use Policy Group was established by the together collaborative projects funded disorders (MNS) are a leading cause of government in May 2011 with the goal by various international funding the burden of disease in South Asia, as of redesigning the National Mental agencies and coresearched by well as the rest of the developing Health Programme and writing India's internationally acclaimed research and world. Notable examples of MNS first National Mental Health Policy. academic institutes. PHFI closely disorders, in terms of the burden of PHFI places its Centre for Mental engages with governments and policy disease, include: autism, mental Health (CMH) as the leading advocate groups to ensure that the centre retardation and epilepsy in childhood; in research, capacity building, and supports excellence, accountability, that will provide the baseline data, CARRS translational trial for application depression, psychoses and alcohol use systems strengthening in the field of strategic planning, and assistance with leading to development of a national of evidence-based care/ strategies for disorders in adulthood; and dementia mental health services. The primary policy formulation pertaining to mental salt reduction strategy, which can be prevention of cardiovascular events in in old age. They exert potent negative mandate of CMH is to raise awareness health. translated into policy and practice. real life settings. This trial tests a low- effects on individuals and families, and strengthen research, training, and Apart from promoting advanced cost care delivery model (non- Recognizing the relatively poor adversely impact the youth as well as education in this high priority area of evidence-based practices using physician care coordinator and adherence to cardiovascular risk older persons in their ability to perform public health in India. It is actively dissemination and demonstration decision support software) in India to reduction therapies, PHFI has tested well in their life, and, in aggregate, involved in identifying and bridging the projects, PHFI creates a public-private achieve comprehensive and proved that a low-cost fixed dose produce more disability worldwide gaps in treatments of mental health partnership to guide their cardio-metabolic disease case combination therapy (Polypill targeting than any other class of disease. disorders. According to recent implementation and improve as well as management of 1,146 high-risk blood pressure, lipids, and platelet Although it has huge public health estimates up to 90 percent of people expand the workforce providing patients at nine heterogeneous sites activity) is effective in improving significance, mental health remains a with MNS disorders do not receive evidence-based mental health services across India. adherence to therapy and reducing perplexing area to deal with as far as evidence-based care through the and support. The premise that there is cardiovascular risk. This study, the cure and rehabilitation is concerned. In primary healthcare system in a huge disparity between the UMPIRE trial (Use of a Multidrug Pill In India there has been renewed interest developing economies such as India. prevalence of the disease and Reducing cardiovascular Events), was in mental healthcare, with the Following the tutelage and the availability of resources and access to conducted in 28 Indian sites among completion of the process of revising proficiency of PHFI's core expertise in mental health services, calls for a 1,000 individuals with high risk for the Indian Mental Health Care Act by decreasing the burden of diseases renewed positioning of MNS disorders cardiovascular diseases. PHFI has also the Ministry of Health and Family through research, CMH weaves in the overall list of global burden of developed and implemented the Welfare. Moreover, a Mental Health diseases.

77 78 Addressing mental health needs through effective promotion, prevention and intervention

Mental, neurological and substance use Policy Group was established by the together collaborative projects funded disorders (MNS) are a leading cause of government in May 2011 with the goal by various international funding the burden of disease in South Asia, as of redesigning the National Mental agencies and coresearched by well as the rest of the developing Health Programme and writing India's internationally acclaimed research and world. Notable examples of MNS first National Mental Health Policy. academic institutes. PHFI closely disorders, in terms of the burden of PHFI places its Centre for Mental engages with governments and policy disease, include: autism, mental Health (CMH) as the leading advocate groups to ensure that the centre retardation and epilepsy in childhood; in research, capacity building, and supports excellence, accountability, that will provide the baseline data, CARRS translational trial for application depression, psychoses and alcohol use systems strengthening in the field of strategic planning, and assistance with leading to development of a national of evidence-based care/ strategies for disorders in adulthood; and dementia mental health services. The primary policy formulation pertaining to mental salt reduction strategy, which can be prevention of cardiovascular events in in old age. They exert potent negative mandate of CMH is to raise awareness health. translated into policy and practice. real life settings. This trial tests a low- effects on individuals and families, and strengthen research, training, and Apart from promoting advanced cost care delivery model (non- Recognizing the relatively poor adversely impact the youth as well as education in this high priority area of evidence-based practices using physician care coordinator and adherence to cardiovascular risk older persons in their ability to perform public health in India. It is actively dissemination and demonstration decision support software) in India to reduction therapies, PHFI has tested well in their life, and, in aggregate, involved in identifying and bridging the projects, PHFI creates a public-private achieve comprehensive and proved that a low-cost fixed dose produce more disability worldwide gaps in treatments of mental health partnership to guide their cardio-metabolic disease case combination therapy (Polypill targeting than any other class of disease. disorders. According to recent implementation and improve as well as management of 1,146 high-risk blood pressure, lipids, and platelet Although it has huge public health estimates up to 90 percent of people expand the workforce providing patients at nine heterogeneous sites activity) is effective in improving significance, mental health remains a with MNS disorders do not receive evidence-based mental health services across India. adherence to therapy and reducing perplexing area to deal with as far as evidence-based care through the and support. The premise that there is cardiovascular risk. This study, the cure and rehabilitation is concerned. In primary healthcare system in a huge disparity between the UMPIRE trial (Use of a Multidrug Pill In India there has been renewed interest developing economies such as India. prevalence of the disease and Reducing cardiovascular Events), was in mental healthcare, with the Following the tutelage and the availability of resources and access to conducted in 28 Indian sites among completion of the process of revising proficiency of PHFI's core expertise in mental health services, calls for a 1,000 individuals with high risk for the Indian Mental Health Care Act by decreasing the burden of diseases renewed positioning of MNS disorders cardiovascular diseases. PHFI has also the Ministry of Health and Family through research, CMH weaves in the overall list of global burden of developed and implemented the Welfare. Moreover, a Mental Health diseases.

77 78 Vidarbha in Maharashtra, has often month in. Awareness meetings this at the district level is being the South Asian region, funded by the health research in the humanitarian related to MNS disorders. This project been in the news because of frequent conducted by community health successfully implemented in specific National Institute of Mental Health context in the South Asia region. is under advanced stages of initiation. farmer suicides there. An area workers have been attended by more research sites. PRIME has completed (NIMH), adapts the Thinking Healthy Another project, Emerging Mental In summary, the treatment gap for adversely affected by agricultural crises, than 1,000 people over the last one data collection through a community- Program for peer-delivery. The Health systems in Low and Middle mental health conditions is far greater the Vidarbha region had no year, helping people fight stigma and level detection survey in June 2013. It program builds an evidence base on Income Countries (EMERALD), works than that observed for people living comprehensive, community-based also access treatment for mental conducted the survey in 44 clusters of the role of peers in the delivery of towards improving mental health with physical health problems. efforts to address psychosocial distress illnesses. Sehore in Madhya Pradesh, mental healthcare by developing and outcomes by enhancing health system Empirical evidence suggests that or mental disorders. PHFI is supporting Adhering to policy and practice- interviewing 1,365 participants. Data evaluating the impact of a peer-led performance. Specifically, EMERALD people with severe mental illness die the Vidarbha Stress and Health relevant research, the Programme for collection through a facility-level psychological treatment for maternal aims to identify key health system earlier, due to both suicides and poor Program (VISHRAM), a four-year Improving Mental Health Care detection survey started in August depression which impacts both barriers to, and solutions for, the quality medical care. Studies also show community-based initiative to promote (PRIME), a six-year research program 2013. maternal and child health outcomes. scaled-up delivery of mental health that there is a two-fold increased risk of mental health and manage mental consortium under PHFI, funded by the Pilot implementation of packages of The SHARE consortium has successfully services in low- and middle-income depression in people with heart health disorders in communities by U.K. Department for International the mental healthcare plan prepared developed a platform for online countries and by doing so improve disease. All this evidence calls for a building partnerships with local Development, aims to develop, by PRIME India has started in Sehore at mentoring aimed at training mental health outcomes in a fair and renewed view of mental illnesses as institutes and NGOs operating in the evaluate, and scale up a mental the Bilkisganj Community Health professionals. Over the last one year efficient way and move to universal one of the most important constituents region. Research investigators, led by healthcare plan in primary and Centre and the Bamulya Primary 61 in-depth interviews and four focus health coverage. Project EMERALD of NCDs. PHFI, assess mental health needs and maternal healthcare in districts in India, Health Centre. Pilot training on mental group discussions have been has the potential to pave the way to resources for the provision of mental and other South Asian and some health for ASHA (Accredited Social successfully completed, adhering to designing for a mental health delivery healthcare, train health workers in African countries. PHFI recognizes that Health Activists) workers and medical SHARE's key idea of using system which is self-sustainable and various aspects of psychosocial and developing an integrated mental officers was conducted in June while Implementation Science for public find solutions for the scaled-up mental healthcare, and deliver healthcare plan for delivery with one training session for paramedical health interventions. Other delivery of mental health services in evidence-based psychosocial and primary and maternal healthcare is the staff was conducted in September interventions include studentships, LMICs. mental health interventions. Health fellowships, distant learning programs, best way to reach a larger number of along with community mobilization The China-India Mental Health counselors from partner organizations a course on global mental health, and a people in need, most of who live in the and a sensitization workshop. Alliance, an initiative funded by the have been trained to deliver counseling two-year course launched in April rural areas. Evaluating the feasibility, The South Asian Hub for Advocacy China Medical Board, will build treatment to people with depression 2013, which aims to produce a cohort acceptability, and impact of the Research and Education on Mental partnerships between leading mental and drinking problems. As many as of researchers able to make a packages of mental healthcare in Health (SHARE), a five-year program health researchers and advocates in 400 patients have been treated so far significant contribution to mental primary healthcare and then scaling on research and capacity building in China and India around priority areas in the outreach clinics organized every

79 80 Vidarbha in Maharashtra, has often month in. Awareness meetings this at the district level is being the South Asian region, funded by the health research in the humanitarian related to MNS disorders. This project been in the news because of frequent conducted by community health successfully implemented in specific National Institute of Mental Health context in the South Asia region. is under advanced stages of initiation. farmer suicides there. An area workers have been attended by more research sites. PRIME has completed (NIMH), adapts the Thinking Healthy Another project, Emerging Mental In summary, the treatment gap for adversely affected by agricultural crises, than 1,000 people over the last one data collection through a community- Program for peer-delivery. The Health systems in Low and Middle mental health conditions is far greater the Vidarbha region had no year, helping people fight stigma and level detection survey in June 2013. It program builds an evidence base on Income Countries (EMERALD), works than that observed for people living comprehensive, community-based also access treatment for mental conducted the survey in 44 clusters of the role of peers in the delivery of towards improving mental health with physical health problems. efforts to address psychosocial distress illnesses. Sehore in Madhya Pradesh, mental healthcare by developing and outcomes by enhancing health system Empirical evidence suggests that or mental disorders. PHFI is supporting Adhering to policy and practice- interviewing 1,365 participants. Data evaluating the impact of a peer-led performance. Specifically, EMERALD people with severe mental illness die the Vidarbha Stress and Health relevant research, the Programme for collection through a facility-level psychological treatment for maternal aims to identify key health system earlier, due to both suicides and poor Program (VISHRAM), a four-year Improving Mental Health Care detection survey started in August depression which impacts both barriers to, and solutions for, the quality medical care. Studies also show community-based initiative to promote (PRIME), a six-year research program 2013. maternal and child health outcomes. scaled-up delivery of mental health that there is a two-fold increased risk of mental health and manage mental consortium under PHFI, funded by the Pilot implementation of packages of The SHARE consortium has successfully services in low- and middle-income depression in people with heart health disorders in communities by U.K. Department for International the mental healthcare plan prepared developed a platform for online countries and by doing so improve disease. All this evidence calls for a building partnerships with local Development, aims to develop, by PRIME India has started in Sehore at mentoring aimed at training mental health outcomes in a fair and renewed view of mental illnesses as institutes and NGOs operating in the evaluate, and scale up a mental the Bilkisganj Community Health professionals. Over the last one year efficient way and move to universal one of the most important constituents region. Research investigators, led by healthcare plan in primary and Centre and the Bamulya Primary 61 in-depth interviews and four focus health coverage. Project EMERALD of NCDs. PHFI, assess mental health needs and maternal healthcare in districts in India, Health Centre. Pilot training on mental group discussions have been has the potential to pave the way to resources for the provision of mental and other South Asian and some health for ASHA (Accredited Social successfully completed, adhering to designing for a mental health delivery healthcare, train health workers in African countries. PHFI recognizes that Health Activists) workers and medical SHARE's key idea of using system which is self-sustainable and various aspects of psychosocial and developing an integrated mental officers was conducted in June while Implementation Science for public find solutions for the scaled-up mental healthcare, and deliver healthcare plan for delivery with one training session for paramedical health interventions. Other delivery of mental health services in evidence-based psychosocial and primary and maternal healthcare is the staff was conducted in September interventions include studentships, LMICs. mental health interventions. Health fellowships, distant learning programs, best way to reach a larger number of along with community mobilization The China-India Mental Health counselors from partner organizations a course on global mental health, and a people in need, most of who live in the and a sensitization workshop. Alliance, an initiative funded by the have been trained to deliver counseling two-year course launched in April rural areas. Evaluating the feasibility, The South Asian Hub for Advocacy China Medical Board, will build treatment to people with depression 2013, which aims to produce a cohort acceptability, and impact of the Research and Education on Mental partnerships between leading mental and drinking problems. As many as of researchers able to make a packages of mental healthcare in Health (SHARE), a five-year program health researchers and advocates in 400 patients have been treated so far significant contribution to mental primary healthcare and then scaling on research and capacity building in China and India around priority areas in the outreach clinics organized every

79 80 Working towards a tobacco-free society

Tobacco use is a global epidemic and a addressing both the demand and The Division of Health Promotion has serious public health challenge for supply side. Engaging media and received a grant from the Bill & developing countries. Smoking kills one advocacy beyond the health sector are Melinda Gates Foundation (October million people in India annually. The integral to a comprehensive tobacco 2009 to October 2013) to pilot project consumption of tobacco will continue control approach due to multisectorial STEPS in Andhra Pradesh and Gujarat. to kill millions of people every year determinants influencing tobacco use. Community intervention under this unless urgent, novel, and dramatic One of the main mandates of the project reached a population of 11.6 steps are adopted to curb the menace. Division of Health Promotion and million in the two states. This was Tobacco affects our health, economy, Tobacco Control at PHFI is preventing achieved through successful and environment. According to a tobacco uptake and promoting tobacco partnerships with 15 NGOs covering Global Adult Tobacco Survey (GATS) control across the entire demographic 11 districts. At the primary healthcare India conducted in 2009, 35 percent and socioeconomic spectrum. The level (Health Systems) around 1,175 of adults consume tobacco in some focus of the division is on the following medical officers and 3,473 allied form or the other, with most of them activities: health professionals have been trained (21 percent) consuming smokeless ?conduct evidence-based research tobacco. In India, the problem of to practice brief intervention advice for tobacco is unique because myriad ?influence key decision makers tobacco cessation. varieties of tobacco products are through advocacy efforts District resource hubs were established available. Its easy access has led to ?build capacity of various in each district to make available a increased use among adolescents and stakeholders resource person for tobacco control children. ?support the government in policy training in the locality. The hub Owing to the complexity of the development for tobacco control constituted medical college tobacco pandemic, we need to professionals, district health officials, develop a multipronged strategy with and medical officers. Within the school active engagement and capacity Research setting, as part of empowering youth building within settings like community, STEPS (Strengthening of Tobacco for tobacco control, 1,008 teachers health systems, and schools, along with control Efforts through innovative and 5,292 student peer leaders from tobacco control policy measures Partnerships & Strategies) 884 schools from the two states were

81 82 Working towards a tobacco-free society

Tobacco use is a global epidemic and a addressing both the demand and The Division of Health Promotion has serious public health challenge for supply side. Engaging media and received a grant from the Bill & developing countries. Smoking kills one advocacy beyond the health sector are Melinda Gates Foundation (October million people in India annually. The integral to a comprehensive tobacco 2009 to October 2013) to pilot project consumption of tobacco will continue control approach due to multisectorial STEPS in Andhra Pradesh and Gujarat. to kill millions of people every year determinants influencing tobacco use. Community intervention under this unless urgent, novel, and dramatic One of the main mandates of the project reached a population of 11.6 steps are adopted to curb the menace. Division of Health Promotion and million in the two states. This was Tobacco affects our health, economy, Tobacco Control at PHFI is preventing achieved through successful and environment. According to a tobacco uptake and promoting tobacco partnerships with 15 NGOs covering Global Adult Tobacco Survey (GATS) control across the entire demographic 11 districts. At the primary healthcare India conducted in 2009, 35 percent and socioeconomic spectrum. The level (Health Systems) around 1,175 of adults consume tobacco in some focus of the division is on the following medical officers and 3,473 allied form or the other, with most of them activities: health professionals have been trained (21 percent) consuming smokeless ?conduct evidence-based research tobacco. In India, the problem of to practice brief intervention advice for tobacco is unique because myriad ?influence key decision makers tobacco cessation. varieties of tobacco products are through advocacy efforts District resource hubs were established available. Its easy access has led to ?build capacity of various in each district to make available a increased use among adolescents and stakeholders resource person for tobacco control children. ?support the government in policy training in the locality. The hub Owing to the complexity of the development for tobacco control constituted medical college tobacco pandemic, we need to professionals, district health officials, develop a multipronged strategy with and medical officers. Within the school active engagement and capacity Research setting, as part of empowering youth building within settings like community, STEPS (Strengthening of Tobacco for tobacco control, 1,008 teachers health systems, and schools, along with control Efforts through innovative and 5,292 student peer leaders from tobacco control policy measures Partnerships & Strategies) 884 schools from the two states were

81 82 trained to carry out intervention Evaluation of National Tobacco promotion and tobacco control for occurrences in Bollywood movies were activities. Control Program (NTCP) various stakeholders has been a unique more than double as compared to initiative ? delivered for the first those with low exposure. Economic studies were undertaken as a The Division of Health Promotion also time in India through the e-learning PHFI advocated with the Ministry of part of two projects: 'A state-level led an independent evaluation of platform. Altogether 139 students from Information & Broadcasting (I&B) and analysis of India's Fiscal Policies for NTCP commissioned by the Ministry of various disciplines have enrolled in the MoHFW on issuing guidelines for Tobacco Control' and 'A Health-Cost Health and Family Welfare. This short-term course and 32 have depicting tobacco use in films. The Study to estimate the economic burden evaluation was carried out from completed the Post Graduate diploma legal team at the division assisted due to tobacco related diseases at December 2012 to February 2013 in in health promotion since May 2011. MoHFW in framing a draft notification National and sub-national levels in 10 out of the 21 Indian states where while resolving some concerns of the India'. The objective was to: the program is being implemented: Ministry of I&B.Due to the persistent ?examine the effectiveness of Delhi, Uttarakhand, Bihar, Assam, Advocacy advocacy efforts by HRIDAY and PHFI, various fiscal measures to control Odisha, Rajasthan, Goa, Gujarat, Tobacco-free movies in India the government issued a notification tobacco consumption by Andhra Pradesh, and Tamil Nadu. The Endgame for Tobacco from exploring price and income The division conducted a unique study on new rules regulating the depiction consultation forums and outreach to The major objectives of the evaluation September 10-12, 2013, in New Delhi, elasticity, substitution effect and among nearly 4,000 students aged of tobacco products and their use in fight for the cause against tobacco. were to assess the impact of NTCP with support from various national and other factors; 12–16 years, from 12 schools across films and television in November 2012. PHFI organized the first national implementation on prevalence of consultation on Smokeless Tobacco in international partners including the New Delhi to assess the following: Smokeless Tobacco Ban ?explore alternative livelihood tobacco use, the level and extent of April 2011. Subsequently, PHFI MoHFW and WHO. The conference ?Their ever tobacco use (using opportunities for the workforce implementation of activities under Gutka consumption is predominant advocated with state governments to endeavors to provide a platform for tobacco once or more in a lifetime) engaged in bidi rolling and NTCP, and to identify the successes, along smokeless tobacco products notify this ban under the FSSAI (Food discussing principal endgame proposals status tobacco off-farm activities; and challenges and gaps in the available in India. The governments of Safety & Standards Authority of India) being introduced in some developed ?undertake comparative analysis of implementation of activities. ?Their receptivity to tobacco 22 states and 4 union territories have 2011 Act. countries and developing an action the income, cost of production, promotions banned the sale of gutka and other plan for LMICs. Setting global tobacco control and market support mechanism chewing tobacco products.The Health Capacity building ?Their exposure to tobacco use in These are being referred to as Promotion division at PHFI has played priorities with focus on LMICS available to farmers growing movies Endgame Strategies. A way forward tobacco and to those growing PHFI's capacity building programs like a crucial role in engaging key decision The study shows that the chances of PHFI and HRIDAY will host the would be to adopt a cohesive policy alternative crops. a short course in tobacco control and a makers, civil society groups, and ever tobacco use among students who International Conference on Public environment combined with evidence- Post Graduate diploma in health members of the public through were highly exposed to tobacco use Health Priorities in the 21st Century: based community action to promote

83 84 trained to carry out intervention Evaluation of National Tobacco promotion and tobacco control for occurrences in Bollywood movies were activities. Control Program (NTCP) various stakeholders has been a unique more than double as compared to initiative ? delivered for the first those with low exposure. Economic studies were undertaken as a The Division of Health Promotion also time in India through the e-learning PHFI advocated with the Ministry of part of two projects: 'A state-level led an independent evaluation of platform. Altogether 139 students from Information & Broadcasting (I&B) and analysis of India's Fiscal Policies for NTCP commissioned by the Ministry of various disciplines have enrolled in the MoHFW on issuing guidelines for Tobacco Control' and 'A Health-Cost Health and Family Welfare. This short-term course and 32 have depicting tobacco use in films. The Study to estimate the economic burden evaluation was carried out from completed the Post Graduate diploma legal team at the division assisted due to tobacco related diseases at December 2012 to February 2013 in in health promotion since May 2011. MoHFW in framing a draft notification National and sub-national levels in 10 out of the 21 Indian states where while resolving some concerns of the India'. The objective was to: the program is being implemented: Ministry of I&B.Due to the persistent ?examine the effectiveness of Delhi, Uttarakhand, Bihar, Assam, Advocacy advocacy efforts by HRIDAY and PHFI, various fiscal measures to control Odisha, Rajasthan, Goa, Gujarat, Tobacco-free movies in India the government issued a notification tobacco consumption by Andhra Pradesh, and Tamil Nadu. The Endgame for Tobacco from exploring price and income The division conducted a unique study on new rules regulating the depiction consultation forums and outreach to The major objectives of the evaluation September 10-12, 2013, in New Delhi, elasticity, substitution effect and among nearly 4,000 students aged of tobacco products and their use in fight for the cause against tobacco. were to assess the impact of NTCP with support from various national and other factors; 12–16 years, from 12 schools across films and television in November 2012. PHFI organized the first national implementation on prevalence of consultation on Smokeless Tobacco in international partners including the New Delhi to assess the following: Smokeless Tobacco Ban ?explore alternative livelihood tobacco use, the level and extent of April 2011. Subsequently, PHFI MoHFW and WHO. The conference ?Their ever tobacco use (using opportunities for the workforce implementation of activities under Gutka consumption is predominant advocated with state governments to endeavors to provide a platform for tobacco once or more in a lifetime) engaged in bidi rolling and NTCP, and to identify the successes, along smokeless tobacco products notify this ban under the FSSAI (Food discussing principal endgame proposals status tobacco off-farm activities; and challenges and gaps in the available in India. The governments of Safety & Standards Authority of India) being introduced in some developed ?undertake comparative analysis of implementation of activities. ?Their receptivity to tobacco 22 states and 4 union territories have 2011 Act. countries and developing an action the income, cost of production, promotions banned the sale of gutka and other plan for LMICs. Setting global tobacco control and market support mechanism chewing tobacco products.The Health Capacity building ?Their exposure to tobacco use in These are being referred to as Promotion division at PHFI has played priorities with focus on LMICS available to farmers growing movies Endgame Strategies. A way forward tobacco and to those growing PHFI's capacity building programs like a crucial role in engaging key decision The study shows that the chances of PHFI and HRIDAY will host the would be to adopt a cohesive policy alternative crops. a short course in tobacco control and a makers, civil society groups, and ever tobacco use among students who International Conference on Public environment combined with evidence- Post Graduate diploma in health members of the public through were highly exposed to tobacco use Health Priorities in the 21st Century: based community action to promote

83 84 Other activities undertaken

public health which will aim to lower rates associated with the many varieties Healthy India: Web Technology as part of the health education and pressure, heart problems, and other initiated this project on the Genetics of the prevalence of smoking to less than of smokeless tobacco products. for Health Promotion and awareness generation activities for ailments were also portrayed through Chronic Obstructive Pulmonary 5 percent by 2040 and set global and Healthy India. Organized at Dilli Haat posters and standees to enhance mass Disease (COPD) Consortium in India The information in the monograph will Prevention of Chronic Disease country-wise targets to protect present also document research and policy in New Delhi, the campaign provided awareness. along with various clinicians and Healthy India and future generations from the gaps and provide critical action steps an enabling platform for experts and On the concluding day, an interactive genetic epidemiologists to enroll the (www.healthyindia.org.in) is an award- harmful effects of tobacco use. with recommendations. This will help approximately 3,000 visitors to engage quiz competition on health was 3,000 cases and 3,000 controls for winning website created, maintained, Scientific monograph on smokeless in curbing the burden of smokeless in a dialogue aimed at changing followed by a health message from COPD. The purpose of this project is to and managed by the Health tobacco and public health in India tobacco in India and aid policymakers mindsets and attitudes related to health PHFI President Professor K Srinath evaluate the genetic and Communication Division at PHFI, in issues. The underlying messages behind environmental determinants of COPD The division has taken the lead in to form evidence-backed policies. Reddy, on the exhilaration of physical collaboration with and financially aesthetically-crafted posters revolved in North Indian populations through a developing a scientific monograph on activity and its role in the prevention of supported by the Ministry of Health around the benefits of physical activity multi-centre study. An additional highlighting the burden of smokeless disease. The winners of the quiz and Family Welfare. and healthy diet, and included simple component of this project is to identify tobacco in India. The scientific editors competition were given prizes by the Launched in April 2007, Healthy India exercise tips, prevalent medical myths, major environmental determinants for this monograph include (Prof. K guest of honor, former Governor, aims at promoting health-seeking and short testimonials. A large number (apart from smoking) of this disease Srinath Reddy ,Dr. P C Gupta, Dr. Reserve Bank of India, Dr Y.V. Reddy. behavior and increasing health literacy of visitors said that they were able to and evaluate gene-environment Samira Asma ,Dr. Dhirendra Sinha)Dr. Two humorous, but hard-hitting short through the provision of credible rediscover the joy of sweating and interactions. This project had been Monika Arora from PHFI's scientific plays titled 'Lifestyle Monsters' and information. The initiative seeks to running out of breath, and the funded by the Government of India's secretariat is one of its technical 'Chusti ka Formula,' followed, which promote balanced diet, physical adrenalin rush of physical activity Department of Biotechnology, Ministry editors. garnered an enthusiastic response from activity, lifestyle management, caring through specially designed challenges the audience. of Science and Technology. This effort is in partnership with Healis- for the environment, and avoiding of skipping rope, push-ups, hoola Chronic Obstructive South Asia Health and Sekhsaria Institute for Public Health, tobacco and alcohol related health hoops, physical activity, dumb Wellness Tracking Program WHO, CDC, and NCI. The report will problems. It provides information and charades, mirror image games, Surya Pulmonary Disease (COPD) showcase the latest data from recent expert opinion on stress management, Namaskar, and ball games during the Genetics Consortium (SAHWP) surveys and epidemiological studies, blood pressure, diabetes, cancers, event. The South Asian population is describe toxicity analysis and findings, The South Asia Network for Chronic heart disease, and stroke and on factors In addition, free diagnostic tests for experiencing the onset of cardio- and provide a comprehensive scientific Disease, a collaborative venture that affect health such as climate blood pressure, ECG, and blood sugar metabolic diseases at younger ages, perspective on the constituents, between the Public Health Foundation change. were conducted using the Swasthya lower body mass indices, and prevalence, morbidity, and mortality of India and the constituent colleges of In March-April 2013, a two-week Slate. Informative messages on blood the Wellcome Trust Bloomsbury Centre increasingly in lower socioeconomic campaign, 'Fit Ho Jao!' was conducted for Clinical Tropical Medicine, has groups. These diseases have increased the financial burden to individuals

85 86 Other activities undertaken public health which will aim to lower rates associated with the many varieties Healthy India: Web Technology as part of the health education and pressure, heart problems, and other initiated this project on the Genetics of the prevalence of smoking to less than of smokeless tobacco products. for Health Promotion and awareness generation activities for ailments were also portrayed through Chronic Obstructive Pulmonary 5 percent by 2040 and set global and Healthy India. Organized at Dilli Haat posters and standees to enhance mass Disease (COPD) Consortium in India The information in the monograph will Prevention of Chronic Disease country-wise targets to protect present also document research and policy in New Delhi, the campaign provided awareness. along with various clinicians and Healthy India and future generations from the gaps and provide critical action steps an enabling platform for experts and On the concluding day, an interactive genetic epidemiologists to enroll the (www.healthyindia.org.in) is an award- harmful effects of tobacco use. with recommendations. This will help approximately 3,000 visitors to engage quiz competition on health was 3,000 cases and 3,000 controls for winning website created, maintained, Scientific monograph on smokeless in curbing the burden of smokeless in a dialogue aimed at changing followed by a health message from COPD. The purpose of this project is to and managed by the Health tobacco and public health in India tobacco in India and aid policymakers mindsets and attitudes related to health PHFI President Professor K Srinath evaluate the genetic and Communication Division at PHFI, in issues. The underlying messages behind environmental determinants of COPD The division has taken the lead in to form evidence-backed policies. Reddy, on the exhilaration of physical collaboration with and financially aesthetically-crafted posters revolved in North Indian populations through a developing a scientific monograph on activity and its role in the prevention of supported by the Ministry of Health around the benefits of physical activity multi-centre study. An additional highlighting the burden of smokeless disease. The winners of the quiz and Family Welfare. and healthy diet, and included simple component of this project is to identify tobacco in India. The scientific editors competition were given prizes by the Launched in April 2007, Healthy India exercise tips, prevalent medical myths, major environmental determinants for this monograph include (Prof. K guest of honor, former Governor, aims at promoting health-seeking and short testimonials. A large number (apart from smoking) of this disease Srinath Reddy ,Dr. P C Gupta, Dr. Reserve Bank of India, Dr Y.V. Reddy. behavior and increasing health literacy of visitors said that they were able to and evaluate gene-environment Samira Asma ,Dr. Dhirendra Sinha)Dr. Two humorous, but hard-hitting short through the provision of credible rediscover the joy of sweating and interactions. This project had been Monika Arora from PHFI's scientific plays titled 'Lifestyle Monsters' and information. The initiative seeks to running out of breath, and the funded by the Government of India's secretariat is one of its technical 'Chusti ka Formula,' followed, which promote balanced diet, physical adrenalin rush of physical activity Department of Biotechnology, Ministry editors. garnered an enthusiastic response from activity, lifestyle management, caring through specially designed challenges the audience. of Science and Technology. This effort is in partnership with Healis- for the environment, and avoiding of skipping rope, push-ups, hoola Chronic Obstructive South Asia Health and Sekhsaria Institute for Public Health, tobacco and alcohol related health hoops, physical activity, dumb Wellness Tracking Program WHO, CDC, and NCI. The report will problems. It provides information and charades, mirror image games, Surya Pulmonary Disease (COPD) showcase the latest data from recent expert opinion on stress management, Namaskar, and ball games during the Genetics Consortium (SAHWP) surveys and epidemiological studies, blood pressure, diabetes, cancers, event. The South Asian population is describe toxicity analysis and findings, The South Asia Network for Chronic heart disease, and stroke and on factors In addition, free diagnostic tests for experiencing the onset of cardio- and provide a comprehensive scientific Disease, a collaborative venture that affect health such as climate blood pressure, ECG, and blood sugar metabolic diseases at younger ages, perspective on the constituents, between the Public Health Foundation change. were conducted using the Swasthya lower body mass indices, and prevalence, morbidity, and mortality of India and the constituent colleges of In March-April 2013, a two-week Slate. Informative messages on blood the Wellcome Trust Bloomsbury Centre increasingly in lower socioeconomic campaign, 'Fit Ho Jao!' was conducted for Clinical Tropical Medicine, has groups. These diseases have increased the financial burden to individuals

85 86 (direct loss) and society (indirect loss of Other Projects human capital). Project Title Funding Body The South Asia Health and Wellness Tracking Program (SAHWP) is the Comparison of Fiscal and Regulatory largest community-based health Policies to Prevent Non-Communicable tracking project in South Asia targeted Diseases in India IDRC at preventing chronic non- Development of Manual for Non- Karnataka State Health System communicable diseases, particularly Communicable Diseases and Standard Resource Centre and Government diabetes and cardiovascular diseases. Treatment Guideline Of Karnataka SAHWP will directly touch the lives of 28,000 people by annually tracking Urban Health In the South Asia Region: health and quality of life indicators in Concepts and Data The World Bank Group three of the world's largest cities--Delhi, A Health-Cost Study to Estimate the Karachi, and Chennai--and promoting Economic Burden of Tobacco Related healthy lifestyle choices plus referring Disease at National And Sub-National participants with newly identified risk Level in India And Blood Glucose WHO factors or conditions to systems of care to maintain health or manage their Prevalence of Rheumatic Heart Disease illnesses. The program will also benefit among School Children of 5-15 Years community, industry, government, Age Group, Using Echocardiography with NGOs, and other policy leaders by Doppler at Three Sites In India Medtronic Foundation providing an evidence-based understanding of NCD risks in these contexts. The data will be used to devise more effective and sustainable health promotion and disease prevention initiatives. Thus SAHWP will have short-term and long-term implications on health and lifestyle in a region of over 1.6 billion people.

87 88 (direct loss) and society (indirect loss of Other Projects human capital). Project Title Funding Body The South Asia Health and Wellness Tracking Program (SAHWP) is the Comparison of Fiscal and Regulatory largest community-based health Policies to Prevent Non-Communicable tracking project in South Asia targeted Diseases in India IDRC at preventing chronic non- Development of Manual for Non- Karnataka State Health System communicable diseases, particularly Communicable Diseases and Standard Resource Centre and Government diabetes and cardiovascular diseases. Treatment Guideline Of Karnataka SAHWP will directly touch the lives of 28,000 people by annually tracking Urban Health In the South Asia Region: health and quality of life indicators in Concepts and Data The World Bank Group three of the world's largest cities--Delhi, A Health-Cost Study to Estimate the Karachi, and Chennai--and promoting Economic Burden of Tobacco Related healthy lifestyle choices plus referring Disease at National And Sub-National participants with newly identified risk Level in India And Blood Glucose WHO factors or conditions to systems of care to maintain health or manage their Prevalence of Rheumatic Heart Disease illnesses. The program will also benefit among School Children of 5-15 Years community, industry, government, Age Group, Using Echocardiography with NGOs, and other policy leaders by Doppler at Three Sites In India Medtronic Foundation providing an evidence-based understanding of NCD risks in these contexts. The data will be used to devise more effective and sustainable health promotion and disease prevention initiatives. Thus SAHWP will have short-term and long-term implications on health and lifestyle in a region of over 1.6 billion people.

87 88 The global HIV/AIDS epidemic is an unprecedented crisis that requires an unprecedented response.

Kofi Annan

89 90 The global HIV/AIDS epidemic is an unprecedented crisis that requires an unprecedented response.

Kofi Annan

89 90 Infectious Diseases Towards better management of HIV and emerging infectious diseases

India's HIV program is at a critical Control Agency (NACO) and the global level. Apart from establishing the first time on the incidence of HIV Along with studies on HIV incidence, quantitative findings. A variety of well- juncture. The adult HIV prevalence at stakeholders came together to review evidence on migration and HIV and its determinants at the population PHFI is also conducting impact established econometric methods the national level has declined from the current situation and plan a future dynamics through the IBBS, PIPPSE is level. A baseline sero-prevalence of assessments of HIV prevention would be employed to explore the 0.41 percent in 2001 to 0.27 percent course of action. PHFI, as part of its implementing a Comprehensive HIV, herpes simplex virus-2 (HSV-2), programs in Andhra Pradesh. The goal relationships between inputs, in 2011. New HIV infections have mandate in the area of infectious District Network Model in Thane syphilis, and sexual and other risk of the project is to assess HIV intermediate outputs, health outcomes, declined by 57 percent, from 2.74 lakh diseases, has been closely involved district of Maharashtra state to behavior was conducted on a transmission dynamics and the and total costs of ART services. It is in 2000 to 1.16 lakh in 2011. Despite with the third phase of the NACO demonstrate a way of increasing representative cohort of 12,600 adult collective impact of all HIV prevention expected that this empirical work these successes, challenges remain in program to prevent and control service coverage and reducing men and women in rural and urban programming in the state, and enhance would enable decision makers to use the form of program scale up, rising HIV/AIDS, which focuses on preventive dropouts, leading to a decrease in the clusters of Guntur district in Andhra analytical capacity for such analysis. evidence to identify the costs and HIV trends in the hitherto low- efforts, while integrating them with number of new infections. PIPPSE is Pradesh in 2004-2005. A five-year In addition to the above studies on HIV consequences of different policy prevalence states, and gaps in the accessible and affordable medical care. supporting NACO for instigating follow up of this cohort is planned to incidence and impact assessments of options. This study would detail ART quality of services. The priority also Additionally, the HIV/AIDS Partnership: enhanced engagement of the private estimate new HIV, HSV-2, and syphilis prevention programs, affordability of service provision bottlenecks and cost- shifts to the low prevalence states in Impact through Prevention, Private sector through policy advocacy and infections and ascertain the treatment options is also being effective policy, and strategy options Northern and Eastern India where the Sector and Evidence-based Programing innovative models. This intervention is determinants of HIV incidence and the evaluated. In a study on cost- for improving ART service provision in capacities for an effective response are (PIPPSE) Project (2012-17), a PHFI- at a critical juncture, and the joint transmission dynamics at the effectiveness of anti-retroviral India. limited. Service delivery from different implemented and USAID-funded designing of activities by NACO and individual, partnership, and broader treatment (ART) and its determinants, PHFI is also involved in enhancing the stakeholders in isolation of each other project, is a creative and timely PIPPSE, will facilitate systematic scale levels. In addition, assessment of the data on ART facilities in Andhra skill sets of professionals working in leads to loss of follow-up actions. As response to support the national up of successful pilots and institutional bias in reporting sexual behavior using Pradesh and Rajasthan were sexually transmitted diseases (STI) and the private sector accounts for 80 program. PIPPSE is supporting the building for greater sustainability. a confidential polling box approach conducted in order to understand and HIV/AIDS in order to equip them to percent of health service offtake, the national program in generating critical Several ongoing and completed would be conducted. Barriers to key attempt a quantification of costs and provide quality services to implement enhanced involvement of private evidence, in terms of scale, projects at PHFI highlight our HIV prevention, treatment, and care constraints to ART service delivery programs and to conduct research in players in both the HIV and non-HIV comprehensiveness and generalizability commitment to address various facets interventions would be assessed in within each state. The ultimate goal of STI and HIV/AIDS. This program is health sectors is a high priority area, as for scientific scale up, through the of the HIV infection. Assessment of order to further these interventions. this costing exercise would be to being conducted in collaboration with is augmenting social protection National Integrated Behavioural and HIV incidence and its determinants in The main outcome from this study calculate the cost of delivering ART- the University of Sydney. measures. Biological Surveillance (IBBS) among a longitudinal cohort-based study, in a would help in understanding HIV specific interventions in a variety of In order to monitor and curb the the Most At Risk Population and representative population in India, transmission and its control in high settings. Analysis of qualitative data spread of infection, the National AIDS migrants, the first study of its kind at attempts to provide empirical data for burden parts of India. would enable contextualizing the

91 92 Infectious Diseases Towards better management of HIV and emerging infectious diseases

India's HIV program is at a critical Control Agency (NACO) and the global level. Apart from establishing the first time on the incidence of HIV Along with studies on HIV incidence, quantitative findings. A variety of well- juncture. The adult HIV prevalence at stakeholders came together to review evidence on migration and HIV and its determinants at the population PHFI is also conducting impact established econometric methods the national level has declined from the current situation and plan a future dynamics through the IBBS, PIPPSE is level. A baseline sero-prevalence of assessments of HIV prevention would be employed to explore the 0.41 percent in 2001 to 0.27 percent course of action. PHFI, as part of its implementing a Comprehensive HIV, herpes simplex virus-2 (HSV-2), programs in Andhra Pradesh. The goal relationships between inputs, in 2011. New HIV infections have mandate in the area of infectious District Network Model in Thane syphilis, and sexual and other risk of the project is to assess HIV intermediate outputs, health outcomes, declined by 57 percent, from 2.74 lakh diseases, has been closely involved district of Maharashtra state to behavior was conducted on a transmission dynamics and the and total costs of ART services. It is in 2000 to 1.16 lakh in 2011. Despite with the third phase of the NACO demonstrate a way of increasing representative cohort of 12,600 adult collective impact of all HIV prevention expected that this empirical work these successes, challenges remain in program to prevent and control service coverage and reducing men and women in rural and urban programming in the state, and enhance would enable decision makers to use the form of program scale up, rising HIV/AIDS, which focuses on preventive dropouts, leading to a decrease in the clusters of Guntur district in Andhra analytical capacity for such analysis. evidence to identify the costs and HIV trends in the hitherto low- efforts, while integrating them with number of new infections. PIPPSE is Pradesh in 2004-2005. A five-year In addition to the above studies on HIV consequences of different policy prevalence states, and gaps in the accessible and affordable medical care. supporting NACO for instigating follow up of this cohort is planned to incidence and impact assessments of options. This study would detail ART quality of services. The priority also Additionally, the HIV/AIDS Partnership: enhanced engagement of the private estimate new HIV, HSV-2, and syphilis prevention programs, affordability of service provision bottlenecks and cost- shifts to the low prevalence states in Impact through Prevention, Private sector through policy advocacy and infections and ascertain the treatment options is also being effective policy, and strategy options Northern and Eastern India where the Sector and Evidence-based Programing innovative models. This intervention is determinants of HIV incidence and the evaluated. In a study on cost- for improving ART service provision in capacities for an effective response are (PIPPSE) Project (2012-17), a PHFI- at a critical juncture, and the joint transmission dynamics at the effectiveness of anti-retroviral India. limited. Service delivery from different implemented and USAID-funded designing of activities by NACO and individual, partnership, and broader treatment (ART) and its determinants, PHFI is also involved in enhancing the stakeholders in isolation of each other project, is a creative and timely PIPPSE, will facilitate systematic scale levels. In addition, assessment of the data on ART facilities in Andhra skill sets of professionals working in leads to loss of follow-up actions. As response to support the national up of successful pilots and institutional bias in reporting sexual behavior using Pradesh and Rajasthan were sexually transmitted diseases (STI) and the private sector accounts for 80 program. PIPPSE is supporting the building for greater sustainability. a confidential polling box approach conducted in order to understand and HIV/AIDS in order to equip them to percent of health service offtake, the national program in generating critical Several ongoing and completed would be conducted. Barriers to key attempt a quantification of costs and provide quality services to implement enhanced involvement of private evidence, in terms of scale, projects at PHFI highlight our HIV prevention, treatment, and care constraints to ART service delivery programs and to conduct research in players in both the HIV and non-HIV comprehensiveness and generalizability commitment to address various facets interventions would be assessed in within each state. The ultimate goal of STI and HIV/AIDS. This program is health sectors is a high priority area, as for scientific scale up, through the of the HIV infection. Assessment of order to further these interventions. this costing exercise would be to being conducted in collaboration with is augmenting social protection National Integrated Behavioural and HIV incidence and its determinants in The main outcome from this study calculate the cost of delivering ART- the University of Sydney. measures. Biological Surveillance (IBBS) among a longitudinal cohort-based study, in a would help in understanding HIV specific interventions in a variety of In order to monitor and curb the the Most At Risk Population and representative population in India, transmission and its control in high settings. Analysis of qualitative data spread of infection, the National AIDS migrants, the first study of its kind at attempts to provide empirical data for burden parts of India. would enable contextualizing the

91 92 Other activities undertaken

Bihar Evaluation of Social Identifying sources, pathways, Franchising and Telemedicine and risk drivers in an epidemic (Best) prone North Indian district

The Bihar Social Franchising and Japanese encephalitis (JE), a vector- Telemedicine project is a social borne disease that causes neurological franchising model of health service infection in humans, is a delivery that links informal sector developmental issue with multiple providers across the state and refers linkages to poverty, socioeconomic their patients to MBBS physicians using status, gender, environment, and telemedicine technologies. Over the urban-rural population distribution. next four years, this project would Our study would focus on the micro- establish a large-scale, sustainable ecosystems present in Kushinagar health service delivery network district of Uttar Pradesh to understand consisting of 15,000 rural health how various risk drivers come together providers, 12,000 rural and urban to determine JE occurrence and pharmacies, and 2,000 transmission in human populations. telemedicine/tele-diagnostic centers by The long-term objective of this engaging existing informal and formal research study would be to provide an Other Projects private sector providers to improve in-depth evidence base for informing detection, diagnosis, and treatment of the design of effective, interventions to Project Title Funding Body four diseases prioritized by the Gates improve health and livelihoods by Hybridized Cell Phone and Survey Foundation (TB, Kala Azar, childhood preventing and controlling JE in India Generated Communication The University Of Chicago diarrhoea, and childhood pneumonia). and in the larger South Asian context, Network and National Institutes Of Health PHFI is the technical partner with focusing on human-animal health COHESIVE-INDIA (Collaboration for interactions, social and environmental Building Inter-Sectoral Collaboration for Health Systems Improvement and influences, and a micro-ecosystem Combating Zoonotic Infections in India WHO Impact Evaluation in India). perspective.

93 94 Other activities undertaken

Bihar Evaluation of Social Identifying sources, pathways, Franchising and Telemedicine and risk drivers in an epidemic (Best) prone North Indian district

The Bihar Social Franchising and Japanese encephalitis (JE), a vector- Telemedicine project is a social borne disease that causes neurological franchising model of health service infection in humans, is a delivery that links informal sector developmental issue with multiple providers across the state and refers linkages to poverty, socioeconomic their patients to MBBS physicians using status, gender, environment, and telemedicine technologies. Over the urban-rural population distribution. next four years, this project would Our study would focus on the micro- establish a large-scale, sustainable ecosystems present in Kushinagar health service delivery network district of Uttar Pradesh to understand consisting of 15,000 rural health how various risk drivers come together providers, 12,000 rural and urban to determine JE occurrence and pharmacies, and 2,000 transmission in human populations. telemedicine/tele-diagnostic centers by The long-term objective of this engaging existing informal and formal research study would be to provide an Other Projects private sector providers to improve in-depth evidence base for informing detection, diagnosis, and treatment of the design of effective, interventions to Project Title Funding Body four diseases prioritized by the Gates improve health and livelihoods by Hybridized Cell Phone and Survey Foundation (TB, Kala Azar, childhood preventing and controlling JE in India Generated Communication The University Of Chicago diarrhoea, and childhood pneumonia). and in the larger South Asian context, Network and National Institutes Of Health PHFI is the technical partner with focusing on human-animal health COHESIVE-INDIA (Collaboration for interactions, social and environmental Building Inter-Sectoral Collaboration for Health Systems Improvement and influences, and a micro-ecosystem Combating Zoonotic Infections in India WHO Impact Evaluation in India). perspective.

93 94 “The test of our progress is … whether we provide enough for those who have too little.”

Franklin D. Roosevelt

95 96 “The test of our progress is … whether we provide enough for those who have too little.”

Franklin D. Roosevelt

95 96 Women and Child Health Other activities undertaken Pro-poor, pro-women research: Reaching those who need it the most Reproductive health The project aims to develop 280 According to the World Health PHFI's projects in Uttar Pradesh and improve the scheme in Gujarat. This franchisee clinics in Bihar and Odisha Organisation, “…global leaders Gujarat involve such knowledge study has been funded by the framework for improved family to provide family planning services. increasingly recognize that the health generation to provide evidence for European Union and coordinated by planning and reproductive PHFI's role is to build the capacity of of women and children is the key to effective decision-making in the linked the Department of Public Health health services the franchisee doctors (MBBS and progress on all development goals.” areas of maternal and child health and Sciences, Global Health at Karolinska The project aims to reduce maternal above) by disseminating the latest These observations find resonance in the financing of this key sector. Health Institute, Sweden. mortality and morbidity through safe knowledge on family planning, ensure PHFI's research, training and advocacy expenses remain a significant burden Uttar Pradesh: Although 20 percent of abortion and quality family planning quality assurance, facilitate efforts, which are sharply focused on on the poor and providing safety nets India's children – that is one out of services with private sector accreditation of the clinics with the women and children – the most or social health insurance can prevent every 5 -- are born in Uttar Pradesh, involvement and by using social government, and develop technical vulnerable group. PHFI is contributing vulnerable households from going the state also has very high neonatal franchisee platform services which will documents (modules, facilitator guides) to national efforts to uplift the lives of deeper into debt. (28 percent) and maternal (35 percent) support national family planning for capacity building activities. The the poor, of women and children, Gujarat: 'The large-scale innovative pro- mortality rates. Uttar Pradesh faces a services in India. The unmet need for Federation of Obstetric and through knowledge generation and poor programs focused on reducing whole array of infrastructural and social family planning for both limiting and Gynecological Societies of India advocacy. For PHFI's community of maternal mortality in India: a proposal problems, with high rates of illiteracy spacing methods is very high. The low (FOGSI) is the technical partner on the scholars the ultimate aim is to see this for impact evaluation (MATIND)' – this and social inequities. PHFI's project, contraceptive prevalence rate leads to project. knowledge transformed into actions study compares two models of 'To change health behaviors and many births, several unwanted The project has two phases. During that will further shape a just and maternal care financing in Gujarat. The improve coverage of health services by pregnancies, and unsafe abortions, all the inception phase (January 2013- equitable society overall goal of the study is to develop a activating social platforms for the poor of which contribute significantly to March 2013) the project team One key target is reducing maternal methodology to compare and assess in Uttar Pradesh,' aims to reduce maternal mortality and morbidity. In undertook a rapid assessment of the and infant deaths. Identifying and the impact of two large-scale programs deaths among women and their spite of government efforts to provide ground situation. The PHFI team understanding what works through for the financing of maternal healthcare children by improving family health free services on family planning, the visited the field and assessed the meaningful evaluation and through the in India: a targeted bursary approach through behavioral changes and acceptance rate is low. Many couples training needs, the quality of family active engagement of community to providing delivery services as in the increasing the quality, access, and use do not get the opportunity to choose planning services in the private sector, stakeholders is an important step Chiranjeevi Yojana versus the of health services. The project will use the best family planning services from and the basket of services provided. It towards this goal. Whatever is learnt conditional cash transfer approach in the platform of women's self-help the wide range of products available in did a mapping of private providers and from these interactions, observations the Janani Suraksha Yojana. This study groups (SHG) to reach this goal. the market. brought in professional organizations and evaluations must be shared and will bring out lessons for other states adapted into effective and targeted and identify best practices to further policies. 97 98 Women and Child Health Other activities undertaken Pro-poor, pro-women research: Reaching those who need it the most Reproductive health The project aims to develop 280 According to the World Health PHFI's projects in Uttar Pradesh and improve the scheme in Gujarat. This franchisee clinics in Bihar and Odisha Organisation, “…global leaders Gujarat involve such knowledge study has been funded by the framework for improved family to provide family planning services. increasingly recognize that the health generation to provide evidence for European Union and coordinated by planning and reproductive PHFI's role is to build the capacity of of women and children is the key to effective decision-making in the linked the Department of Public Health health services the franchisee doctors (MBBS and progress on all development goals.” areas of maternal and child health and Sciences, Global Health at Karolinska The project aims to reduce maternal above) by disseminating the latest These observations find resonance in the financing of this key sector. Health Institute, Sweden. mortality and morbidity through safe knowledge on family planning, ensure PHFI's research, training and advocacy expenses remain a significant burden Uttar Pradesh: Although 20 percent of abortion and quality family planning quality assurance, facilitate efforts, which are sharply focused on on the poor and providing safety nets India's children – that is one out of services with private sector accreditation of the clinics with the women and children – the most or social health insurance can prevent every 5 -- are born in Uttar Pradesh, involvement and by using social government, and develop technical vulnerable group. PHFI is contributing vulnerable households from going the state also has very high neonatal franchisee platform services which will documents (modules, facilitator guides) to national efforts to uplift the lives of deeper into debt. (28 percent) and maternal (35 percent) support national family planning for capacity building activities. The the poor, of women and children, Gujarat: 'The large-scale innovative pro- mortality rates. Uttar Pradesh faces a services in India. The unmet need for Federation of Obstetric and through knowledge generation and poor programs focused on reducing whole array of infrastructural and social family planning for both limiting and Gynecological Societies of India advocacy. For PHFI's community of maternal mortality in India: a proposal problems, with high rates of illiteracy spacing methods is very high. The low (FOGSI) is the technical partner on the scholars the ultimate aim is to see this for impact evaluation (MATIND)' – this and social inequities. PHFI's project, contraceptive prevalence rate leads to project. knowledge transformed into actions study compares two models of 'To change health behaviors and many births, several unwanted The project has two phases. During that will further shape a just and maternal care financing in Gujarat. The improve coverage of health services by pregnancies, and unsafe abortions, all the inception phase (January 2013- equitable society overall goal of the study is to develop a activating social platforms for the poor of which contribute significantly to March 2013) the project team One key target is reducing maternal methodology to compare and assess in Uttar Pradesh,' aims to reduce maternal mortality and morbidity. In undertook a rapid assessment of the and infant deaths. Identifying and the impact of two large-scale programs deaths among women and their spite of government efforts to provide ground situation. The PHFI team understanding what works through for the financing of maternal healthcare children by improving family health free services on family planning, the visited the field and assessed the meaningful evaluation and through the in India: a targeted bursary approach through behavioral changes and acceptance rate is low. Many couples training needs, the quality of family active engagement of community to providing delivery services as in the increasing the quality, access, and use do not get the opportunity to choose planning services in the private sector, stakeholders is an important step Chiranjeevi Yojana versus the of health services. The project will use the best family planning services from and the basket of services provided. It towards this goal. Whatever is learnt conditional cash transfer approach in the platform of women's self-help the wide range of products available in did a mapping of private providers and from these interactions, observations the Janani Suraksha Yojana. This study groups (SHG) to reach this goal. the market. brought in professional organizations and evaluations must be shared and will bring out lessons for other states adapted into effective and targeted and identify best practices to further policies. 97 98 Other Projects like FOGSI and the Indian Medical simple checklist – with standard steps Association. During the taken for a safe birth – is a tool to implementation phase (April-2013 ensure that at least the simple Title Funding Body onward), PHFI will finalize the procedures are followed. The goal of Community Intervention to Improve Growth among Children University College London and The Medical Research technical documents, conduct a this evaluation is to measure the Under Two in Rural India Council, UK national expert meet, monitor effectiveness and cost-effectiveness of orientation, and conduct a state the WHO safe childbirth checklist in Four Training Workshop on Adverse Events Following Immunization Related Activities WHO & DCGI master-trainers workshop in Odisha. By reducing early neonatal mortality. The December 2013, PHFI will achieve SCC is a paper-based tool designed to Technical Assistance and Supervision for Operationalization capacity building of all the doctors in ensure that practitioners perform of Maternal Death Review in the State of Andhra Pradesh UNICEF & PHFI the 280 franchisee clinics. specific and essential practices at four Bringing the Safe Child Protection Tools to Practice: key pause points: on admission; just Partnerships for Data Collection, Analysis and Implementation before pushing (or Caesarean section); Research In India and Haiti Oak Foundation and Harvard School of Public Health Assessment and evaluation of within one hour after birth; and prior the Safe Childbirth Checklist to discharge. SCC improves the quality Development and Piloting an Intervention Model To Delay First Pregnancy and Spacing of Second Child among of care by helping skilled birth (SCC) Phase II Married Adolescents and Young People: Phase-2 WHO attendants adhere to procedures for Approximately 30 percent of all safe childbirth and early neonatal care. Policy Window Preparation Grant Global Development Network and International neonatal deaths globally occur in India. Initiative for Impact Evaluation Incorporated The evaluation results on mortality will Rajasthan has particularly high be used at the state level by the Certificate Course o n Comprehensive Contraceptive Measures United Nations Population Fund neonatal mortality, with 43.9 neonatal Government of Rajasthan and the deaths per 1,000 live births and 388 Status Of India's Newborn (SOIN) Report Save The Children Technical Advisory Group to inform maternal deaths per 100,000 live decisions on the scale-up and wider Women's Reach Initiative - Phase I Harvard School of Public Health births. Almost half of these occur in the adoption of the checklist. At the first 48 hours after birth. With an Data Informed Platform for Health London School of Hygiene and Tropical Medicine national level, the evidence generated increase in facility-based deliveries will be shared with the Government of Short Documentary Film on Maternal Mortality: Policy Karnataka State Health System Resource Centre, through programs such as Janani India, national partners, and Options, Opportunities and Challenges In Karnataka Government of Karnataka Suraksha Yojana, the number of such international organizations focusing on deliveries has increased phenomenally Post-Graduate Diploma in Management of Maternal and maternal and child health to guide in a very short time, but the quality of Child Health Management UNICEF policy decisions and advocacy on the care provided to the mother and Evidence-Based Service Delivery Through Health System SCC. neonate is far from acceptable. A Strengthening In Five Districts of Odisha - An External Monitoring Model. UNICEF

99 100 Other Projects like FOGSI and the Indian Medical simple checklist – with standard steps Association. During the taken for a safe birth – is a tool to implementation phase (April-2013 ensure that at least the simple Title Funding Body onward), PHFI will finalize the procedures are followed. The goal of Community Intervention to Improve Growth among Children University College London and The Medical Research technical documents, conduct a this evaluation is to measure the Under Two in Rural India Council, UK national expert meet, monitor effectiveness and cost-effectiveness of orientation, and conduct a state the WHO safe childbirth checklist in Four Training Workshop on Adverse Events Following Immunization Related Activities WHO & DCGI master-trainers workshop in Odisha. By reducing early neonatal mortality. The December 2013, PHFI will achieve SCC is a paper-based tool designed to Technical Assistance and Supervision for Operationalization capacity building of all the doctors in ensure that practitioners perform of Maternal Death Review in the State of Andhra Pradesh UNICEF & PHFI the 280 franchisee clinics. specific and essential practices at four Bringing the Safe Child Protection Tools to Practice: key pause points: on admission; just Partnerships for Data Collection, Analysis and Implementation before pushing (or Caesarean section); Research In India and Haiti Oak Foundation and Harvard School of Public Health Assessment and evaluation of within one hour after birth; and prior the Safe Childbirth Checklist to discharge. SCC improves the quality Development and Piloting an Intervention Model To Delay First Pregnancy and Spacing of Second Child among of care by helping skilled birth (SCC) Phase II Married Adolescents and Young People: Phase-2 WHO attendants adhere to procedures for Approximately 30 percent of all safe childbirth and early neonatal care. Policy Window Preparation Grant Global Development Network and International neonatal deaths globally occur in India. Initiative for Impact Evaluation Incorporated The evaluation results on mortality will Rajasthan has particularly high be used at the state level by the Certificate Course o n Comprehensive Contraceptive Measures United Nations Population Fund neonatal mortality, with 43.9 neonatal Government of Rajasthan and the deaths per 1,000 live births and 388 Status Of India's Newborn (SOIN) Report Save The Children Technical Advisory Group to inform maternal deaths per 100,000 live decisions on the scale-up and wider Women's Reach Initiative - Phase I Harvard School of Public Health births. Almost half of these occur in the adoption of the checklist. At the first 48 hours after birth. With an Data Informed Platform for Health London School of Hygiene and Tropical Medicine national level, the evidence generated increase in facility-based deliveries will be shared with the Government of Short Documentary Film on Maternal Mortality: Policy Karnataka State Health System Resource Centre, through programs such as Janani India, national partners, and Options, Opportunities and Challenges In Karnataka Government of Karnataka Suraksha Yojana, the number of such international organizations focusing on deliveries has increased phenomenally Post-Graduate Diploma in Management of Maternal and maternal and child health to guide in a very short time, but the quality of Child Health Management UNICEF policy decisions and advocacy on the care provided to the mother and Evidence-Based Service Delivery Through Health System SCC. neonate is far from acceptable. A Strengthening In Five Districts of Odisha - An External Monitoring Model. UNICEF

99 100 “The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition.”

Thomas Edison

101 102 “The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition.”

Thomas Edison

101 102 Public Health Nutrition

Transforming the way the world thinks and acts on nutrition

Undernutrition in early life is content and use of nutrition-relevant As TN's regional head of the Capacity (NFHS)-3 indicating that 12.6 percent responsible for the deaths of millions of evidence to accelerate undernutrition Strengthening Working Group for of children below five years are young children annually. The reduction through this decade in the South Asia, PHFI is actively involved in suffering from SAM in the state. The associated human and economic costs two highest burden regions of South the development of short public health Government of Madhya Pradesh has are enormous, and yet the rate of Asia and sub-Saharan Africa, with nutrition courses, leadership training, established Nutrition Rehabilitation undernutrition reduction remains special focus on four high-burden distance-learning initiatives, and Centres (NRCs) for inpatient glacial. While "what works" in terms of countries: Kenya, India, Bangladesh, detailed audits of nutrition-relevant management of children with severe direct nutrition interventions is well and Ethiopia. capacity in India. In addition to acute malnutrition. In spite of a large known, scaling up is not happening fast TN focuses on the 1,000-day period capacity building initiatives, PHFI will investment and positioning of NRCs as enough or not at all. There are large from pre-pregnancy to 24 months of contribute to TN's ongoing activities a core strategy in addressing the severe resource flows in sectors such as age – the window of opportunity when through the upcoming India Health malnutrition problem in the state, there agriculture, social protection, and interventions are most effective at Report on Nutrition that aims at has yet been no systematic study to health systems, but their potential to reducing undernutrition. TN's research evidence-based assessment of current understand how caregivers perceive improve nutrition is rarely exploited. is structured around three core pillars: achievements and challenges related to the services provided at NRCs. Finally, wider societal norms do not scaling up direct nutrition maternal and child nutrition in India. Although there are anecdotal reports, support nutrition as well as they could. interventions; leveraging indirect PHFI will collaborate with other TN there is very little information about nutrition interventions; and an PHFI is committed to reducing partners for academic research on the health, nutrition, and growth status enabling environment for nutrition. nutrition related problems in India by themes embedded in the three of children after discharge and the These pillars are aligned with the three research pillars of TN. status of NRC-promoted practices being involved in nutrition research, levels of the undernutrition problem - adopted by caregivers. advocacy, and policy development. the immediate, underlying, and basic PHFI is also committed to study, assess, The Transform Nutrition research causal levels. Embedded in these and reduce severe acute malnutrition The PHFI study will fill this lacuna with program consortium (TN), of which research pillars, and permeating the (SAM) among children. SAM is a major a nutritional status assessment of PHFI is a part, aims to transform work of PHFI and its partners, are three cause of morbidity and mortality in children after their discharge from thinking and action on nutrition. The cross-cutting themes: governance, Madhya Pradesh, with estimates from these NRCs. PHFI will conduct a cross- objective of TN is to strengthen the inclusion, and fragility. the National Family Health Survey sectional study of children who have

103 104 Public Health Nutrition

Transforming the way the world thinks and acts on nutrition

Undernutrition in early life is content and use of nutrition-relevant As TN's regional head of the Capacity (NFHS)-3 indicating that 12.6 percent responsible for the deaths of millions of evidence to accelerate undernutrition Strengthening Working Group for of children below five years are young children annually. The reduction through this decade in the South Asia, PHFI is actively involved in suffering from SAM in the state. The associated human and economic costs two highest burden regions of South the development of short public health Government of Madhya Pradesh has are enormous, and yet the rate of Asia and sub-Saharan Africa, with nutrition courses, leadership training, established Nutrition Rehabilitation undernutrition reduction remains special focus on four high-burden distance-learning initiatives, and Centres (NRCs) for inpatient glacial. While "what works" in terms of countries: Kenya, India, Bangladesh, detailed audits of nutrition-relevant management of children with severe direct nutrition interventions is well and Ethiopia. capacity in India. In addition to acute malnutrition. In spite of a large known, scaling up is not happening fast TN focuses on the 1,000-day period capacity building initiatives, PHFI will investment and positioning of NRCs as enough or not at all. There are large from pre-pregnancy to 24 months of contribute to TN's ongoing activities a core strategy in addressing the severe resource flows in sectors such as age – the window of opportunity when through the upcoming India Health malnutrition problem in the state, there agriculture, social protection, and interventions are most effective at Report on Nutrition that aims at has yet been no systematic study to health systems, but their potential to reducing undernutrition. TN's research evidence-based assessment of current understand how caregivers perceive improve nutrition is rarely exploited. is structured around three core pillars: achievements and challenges related to the services provided at NRCs. Finally, wider societal norms do not scaling up direct nutrition maternal and child nutrition in India. Although there are anecdotal reports, support nutrition as well as they could. interventions; leveraging indirect PHFI will collaborate with other TN there is very little information about nutrition interventions; and an PHFI is committed to reducing partners for academic research on the health, nutrition, and growth status enabling environment for nutrition. nutrition related problems in India by themes embedded in the three of children after discharge and the These pillars are aligned with the three research pillars of TN. status of NRC-promoted practices being involved in nutrition research, levels of the undernutrition problem - adopted by caregivers. advocacy, and policy development. the immediate, underlying, and basic PHFI is also committed to study, assess, The Transform Nutrition research causal levels. Embedded in these and reduce severe acute malnutrition The PHFI study will fill this lacuna with program consortium (TN), of which research pillars, and permeating the (SAM) among children. SAM is a major a nutritional status assessment of PHFI is a part, aims to transform work of PHFI and its partners, are three cause of morbidity and mortality in children after their discharge from thinking and action on nutrition. The cross-cutting themes: governance, Madhya Pradesh, with estimates from these NRCs. PHFI will conduct a cross- objective of TN is to strengthen the inclusion, and fragility. the National Family Health Survey sectional study of children who have

103 104 been discharged one year previously Development Studies (IDS), Sussex, viewing the nutrition policy landscape The three partners of POSHAN are in from NRCs; they will be visited in their with support from the Bill & Melinda from the lens of evidence use and the process of initiating state-level home. Another assessment will be Gates Foundation. POSHAN is a four- analyzing the stakeholder landscape interviews and data analysis that will longitudinal, following a cohort of SAM year initiative which aims to build through stakeholder research. inform a knowledge mobilization children after they are admitted into an evidence on effective actions for POSHAN has completed a review of strategy for the project, with the aim of NRC. nutrition and support the use of major health and nutrition policies that strengthening partnerships and This growth assessment of children evidence in decision-making. impact the first 1,000 days following opportunities to tackle undernutrition after their discharge will fill a vital The overall goal of POSHAN is to birth. It provides a brief overview of in India. information gap about the progress of improve and support policy and undernutrition in India as a major Additionally, PHFI, in partnership with children in the community and the program decisions and actions to public health problem; presents a Oxfam India and IDS, Sussex, is extent to which NRC-promoted child accelerate reductions in maternal and snapshot of the various Five Year Plans conducting a study to develop a care and feeding practices are adopted child undernutrition in India, through (FYPs); and synthesizes direct and Hunger Reduction Commitment Index by families. There will also be a an inclusive process of evidence indirect nutrition interventions and (HRCI) for India. HRCI is a tool methodical review of the operations of synthesis, knowledge generation, and strategies being introduced through the developed by a consortium of NRCs. As one of the first studies in the knowledge mobilization. Its two major FYPs. After obtaining protocol organizations led by IDS to measure state to systematically review treatment objectives are 1) To analyse direct and clearance from the Institutional Ethics political commitment to address the centres, this initiative will help the state indirect nutrition-relevant interventions Committee of PHFI for Stakeholder problem of hunger and to alleviate the health department identify program to generate knowledge on optimal Research, the team began a round of conditions that underpin it. HRCI and operational issues in the approaches to address major national level stakeholder interviews on measures the commitment of policies and programs and budgetary will be prepared for all those states management of SAM children and bottlenecks to improving maternal and policy process, the use of evidence in governments and other stakeholders expenditures ? pertaining to different where data on select indicators are suggest recommendations for child nutrition outcomes in India; 2) To policy, and the need to identify credibly, and thus enables governments development sectors that directly or readily available. PHFI's report willl also improvement. mobilize evidence-based and patterns related to the use of to track, refine, and prioritize their information and knowledge. National- indirectly contribute to hunger and include a narrative on barriers and As part of its commitment to support actionable knowledge to inform policy efforts. While all the other similar level interviews were conducted along malnutrition. PHFI has modified the enablers of hunger and malnutrition policy research and development, formulation and support program initiatives look at indicators related to with partner organizations with a target methods and indicators of the global elimination in India and its states, in PHFI is involved as a collaborator on planning for nutrition at the national outcomes retrospectively, HRCI audience of senior bureaucrats, civil index to meet the situations and order to suggest a roadmap for the POSHAN (Partnerships and level and in three to four key states. prospectively focuses on indicators of society representatives, nutrition priorities of India and its states. The improvement. Opportunities to Strengthen and PHFI is currently engaged in activities political commitment. experts, lawyers, National Advisory index will be developed through a The following activities have been Harmonize Actions for Nutrition in focused on the second objective. Its The India HRCI is being developed as a Council representatives, media, and rigorous review of available data. An completed under the project: finalizing India) initiative, along with the aim is to develop, in year two to four composite of different indicators in Supreme Court Commissioners. Data expert survey in select settings as well HRCI indicators for India as well as the International Food Policy Research of the initiative, a knowledge three major areas of political analysis and reporting of research as a community voice study would states; finalizing the methods and Institute (IFPRI) and the Institute of management strategy for POSHAN by commitment - legal framework, results is underway. inform this process. The India HRCI processes for indicator

105 106 been discharged one year previously Development Studies (IDS), Sussex, viewing the nutrition policy landscape The three partners of POSHAN are in from NRCs; they will be visited in their with support from the Bill & Melinda from the lens of evidence use and the process of initiating state-level home. Another assessment will be Gates Foundation. POSHAN is a four- analyzing the stakeholder landscape interviews and data analysis that will longitudinal, following a cohort of SAM year initiative which aims to build through stakeholder research. inform a knowledge mobilization children after they are admitted into an evidence on effective actions for POSHAN has completed a review of strategy for the project, with the aim of NRC. nutrition and support the use of major health and nutrition policies that strengthening partnerships and This growth assessment of children evidence in decision-making. impact the first 1,000 days following opportunities to tackle undernutrition after their discharge will fill a vital The overall goal of POSHAN is to birth. It provides a brief overview of in India. information gap about the progress of improve and support policy and undernutrition in India as a major Additionally, PHFI, in partnership with children in the community and the program decisions and actions to public health problem; presents a Oxfam India and IDS, Sussex, is extent to which NRC-promoted child accelerate reductions in maternal and snapshot of the various Five Year Plans conducting a study to develop a care and feeding practices are adopted child undernutrition in India, through (FYPs); and synthesizes direct and Hunger Reduction Commitment Index by families. There will also be a an inclusive process of evidence indirect nutrition interventions and (HRCI) for India. HRCI is a tool methodical review of the operations of synthesis, knowledge generation, and strategies being introduced through the developed by a consortium of NRCs. As one of the first studies in the knowledge mobilization. Its two major FYPs. After obtaining protocol organizations led by IDS to measure state to systematically review treatment objectives are 1) To analyse direct and clearance from the Institutional Ethics political commitment to address the centres, this initiative will help the state indirect nutrition-relevant interventions Committee of PHFI for Stakeholder problem of hunger and to alleviate the health department identify program to generate knowledge on optimal Research, the team began a round of conditions that underpin it. HRCI and operational issues in the approaches to address major national level stakeholder interviews on measures the commitment of policies and programs and budgetary will be prepared for all those states management of SAM children and bottlenecks to improving maternal and policy process, the use of evidence in governments and other stakeholders expenditures ? pertaining to different where data on select indicators are suggest recommendations for child nutrition outcomes in India; 2) To policy, and the need to identify credibly, and thus enables governments development sectors that directly or readily available. PHFI's report willl also improvement. mobilize evidence-based and patterns related to the use of to track, refine, and prioritize their information and knowledge. National- indirectly contribute to hunger and include a narrative on barriers and As part of its commitment to support actionable knowledge to inform policy efforts. While all the other similar level interviews were conducted along malnutrition. PHFI has modified the enablers of hunger and malnutrition policy research and development, formulation and support program initiatives look at indicators related to with partner organizations with a target methods and indicators of the global elimination in India and its states, in PHFI is involved as a collaborator on planning for nutrition at the national outcomes retrospectively, HRCI audience of senior bureaucrats, civil index to meet the situations and order to suggest a roadmap for the POSHAN (Partnerships and level and in three to four key states. prospectively focuses on indicators of society representatives, nutrition priorities of India and its states. The improvement. Opportunities to Strengthen and PHFI is currently engaged in activities political commitment. experts, lawyers, National Advisory index will be developed through a The following activities have been Harmonize Actions for Nutrition in focused on the second objective. Its The India HRCI is being developed as a Council representatives, media, and rigorous review of available data. An completed under the project: finalizing India) initiative, along with the aim is to develop, in year two to four composite of different indicators in Supreme Court Commissioners. Data expert survey in select settings as well HRCI indicators for India as well as the International Food Policy Research of the initiative, a knowledge three major areas of political analysis and reporting of research as a community voice study would states; finalizing the methods and Institute (IFPRI) and the Institute of management strategy for POSHAN by commitment - legal framework, results is underway. inform this process. The India HRCI processes for indicator

105 106 Other activities undertaken

operationalization; preparing the HRCI and scholars as well as key informant Effect of heating on the trans fatty for the India national setting and 14 interviews with leaders in the field of acid content of commonly state settings of Assam, Bihar, public health nutrition to identify the consumed Indian edible oils and Chhattisgarh, Jharkarand, Kerala, future roadmap of public health Madhya Pradesh, Odisha, Punjab, nutrition education and formulate an fried snacks in South Delhi Rajasthan, Tamil Nadu, Uttarakhand, international standard curriculum in Trans fats have been shown to contribute to Uttar Pradesh, and West Bengal; public health nutrition. adverse cardiovascular outcomes. A common conducting an Expert Survey and This year, PHFI proposes to launch the source of trans fats in the Indian diet is from putting together the primary HRCI for India Health Report on Nutrition. This foods prepared in partially hydrogenated Bihar, Odisha, and Uttar Pradesh; biennial report, aimed at a broad vegetable oils. A knowledge of the levels of organizing community perception national and international policy and trans fats in the snacks and consumption studies in Bihar, Odisha, and Uttar academic audience, will provide a patterns of oil in households will help in Pradesh and preparing the community periodic assessment of health in India, raising consumer awareness. This project is voices report; drafting an Advocacy with each issue focusing on a specific concerned with analyzing trans fats in deep and Communication Strategy for India area of health challenge. The inaugural fried, ready-to-eat snacks (and the oils they HRC; presentation of the HRCI to an issue will provide a rigorous analytical are fried in) commonly sold in the market. expert panel; and preparing the HRCI overview of the current trends, The project will also survey oil consumption report. challenges, and puzzles related to and usage patterns amongst a subset of In order to identify the current maternal and child nutrition in India, households in south Delhi. In January 2013 strengths and gaps in the area of and highlight the role of policy in this project was transferred to the All India nutrition-relevant capacity in India, improving a wide range of nutritional Institute of Medical Sciences, New Delhi. PHFI is performing an assessment of outcomes, especially at the state level. During the duration of the project at the the curriculum and capacity of PHFI is also working with the Indian Institute of Public Health–Delhi institutions that offer academic International Food Policy Research household surveys were conducted in 200 programs in nutrition in India, followed Institute on a cross-country analysis of households of south Delhi; vendor surveys by in-depth case studies of centres of the impact of women's empowerment were done amongst 50 small-sized vendors in excellence in research and academia. on child health outcomes. south Delhi markets; and a sampling of freshly PHFI is also conducting focus group prepared deep-fried snacks being sold was discussions with young professionals done in the same vendors' outlets.

107 108 Other activities undertaken operationalization; preparing the HRCI and scholars as well as key informant Effect of heating on the trans fatty for the India national setting and 14 interviews with leaders in the field of acid content of commonly state settings of Assam, Bihar, public health nutrition to identify the consumed Indian edible oils and Chhattisgarh, Jharkarand, Kerala, future roadmap of public health Madhya Pradesh, Odisha, Punjab, nutrition education and formulate an fried snacks in South Delhi Rajasthan, Tamil Nadu, Uttarakhand, international standard curriculum in Trans fats have been shown to contribute to Uttar Pradesh, and West Bengal; public health nutrition. adverse cardiovascular outcomes. A common conducting an Expert Survey and This year, PHFI proposes to launch the source of trans fats in the Indian diet is from putting together the primary HRCI for India Health Report on Nutrition. This foods prepared in partially hydrogenated Bihar, Odisha, and Uttar Pradesh; biennial report, aimed at a broad vegetable oils. A knowledge of the levels of organizing community perception national and international policy and trans fats in the snacks and consumption studies in Bihar, Odisha, and Uttar academic audience, will provide a patterns of oil in households will help in Pradesh and preparing the community periodic assessment of health in India, raising consumer awareness. This project is voices report; drafting an Advocacy with each issue focusing on a specific concerned with analyzing trans fats in deep and Communication Strategy for India area of health challenge. The inaugural fried, ready-to-eat snacks (and the oils they HRC; presentation of the HRCI to an issue will provide a rigorous analytical are fried in) commonly sold in the market. expert panel; and preparing the HRCI overview of the current trends, The project will also survey oil consumption report. challenges, and puzzles related to and usage patterns amongst a subset of In order to identify the current maternal and child nutrition in India, households in south Delhi. In January 2013 strengths and gaps in the area of and highlight the role of policy in this project was transferred to the All India nutrition-relevant capacity in India, improving a wide range of nutritional Institute of Medical Sciences, New Delhi. PHFI is performing an assessment of outcomes, especially at the state level. During the duration of the project at the the curriculum and capacity of PHFI is also working with the Indian Institute of Public Health–Delhi institutions that offer academic International Food Policy Research household surveys were conducted in 200 programs in nutrition in India, followed Institute on a cross-country analysis of households of south Delhi; vendor surveys by in-depth case studies of centres of the impact of women's empowerment were done amongst 50 small-sized vendors in excellence in research and academia. on child health outcomes. south Delhi markets; and a sampling of freshly PHFI is also conducting focus group prepared deep-fried snacks being sold was discussions with young professionals done in the same vendors' outlets.

107 108 Second International Seminar international faculty and on Nutritional Epidemiology representatives from Emory University The Second International Seminar on (USA), Imperial College (London), Nutritional Epidemiology, held in Centre for Chronic Disease Control, November 2012 at New Delhi, was Public Health Foundation of India, jointly organized by the Centre for Delhi University, Food Safety and Chronic Disease Control (CCDC) and Standards Authority of India, South Public Health Foundation of India, Asia Network for Chronic Disease, supported by Center of Excellence - Indian Council of Medical Research, St. Center for Cardio-metabolic Risk John's Medical College, International Reduction in South Asia (COE CARRS), Food Policy Research Institute, and All Indian Council of Medical Research, India Institute of Medical Sciences. and Transform Nutrition. The seminar focused on three themes: epidemiological methods, examining diet and disease relationships, and nutritional assessment. The seminar had the following Other Projects objectives: to address the lack of Project Title Funding Body comprehensive and nationwide education and training for specialists Endline Evaluation of the Wheat Flour with a primary focus on public health Fortification Project World Food Programme nutrition; to organize capacity building programs conforming to common standards of education, training and Evaluation of Integrated Child quality assurance, to assist Development Services (ICDS) in Gujarat Global Alliance for Improved Nutrition implementation of effective public health nutrition policies and programs. The seminar was attended by 37 participants representing UN agencies, research organizations, universities, medical institutes, pharmaceutical companies, and government and non- government organizations. The key speakers were 15 national and

109 110 Second International Seminar international faculty and on Nutritional Epidemiology representatives from Emory University The Second International Seminar on (USA), Imperial College (London), Nutritional Epidemiology, held in Centre for Chronic Disease Control, November 2012 at New Delhi, was Public Health Foundation of India, jointly organized by the Centre for Delhi University, Food Safety and Chronic Disease Control (CCDC) and Standards Authority of India, South Public Health Foundation of India, Asia Network for Chronic Disease, supported by Center of Excellence - Indian Council of Medical Research, St. Center for Cardio-metabolic Risk John's Medical College, International Reduction in South Asia (COE CARRS), Food Policy Research Institute, and All Indian Council of Medical Research, India Institute of Medical Sciences. and Transform Nutrition. The seminar focused on three themes: epidemiological methods, examining diet and disease relationships, and nutritional assessment. The seminar had the following Other Projects objectives: to address the lack of Project Title Funding Body comprehensive and nationwide education and training for specialists Endline Evaluation of the Wheat Flour with a primary focus on public health Fortification Project World Food Programme nutrition; to organize capacity building programs conforming to common standards of education, training and Evaluation of Integrated Child quality assurance, to assist Development Services (ICDS) in Gujarat Global Alliance for Improved Nutrition implementation of effective public health nutrition policies and programs. The seminar was attended by 37 participants representing UN agencies, research organizations, universities, medical institutes, pharmaceutical companies, and government and non- government organizations. The key speakers were 15 national and

109 110 Science can amuse and fascinate us all, but it is engineering that changes the world.

ISAAC ASIMOV

111 112 Science can amuse and fascinate us all, but it is engineering that changes the world.

ISAAC ASIMOV

111 112 Affordable Health Technology Innovative technologies towards improving public health

Access to quality, affordable healthcare The overall framework of the Swasthya similarity to conventional expensive information regarding the location of in the developing world remains a Slate operations involves diagnostic detection devices. The success rate in patients and healthcare facilities through its challenge. The problem of providing devices interfaced to a Bluetooth unit. uploading test reports was 99.2 GPS system. It can store information the services is further complicated by An affordable diagnostic device has percent in test areas as remote as regarding patients that helps in longitudinal lack of doctors and trained been taken and readings have been 7200 feet in the upper Himalayas. monitoring by healthcare providers. practitioners in many rural and urban digitized. These digitized values are The importance of the device lies in it Accredited Social Health Activist care givers areas. A key intervention to address sent to an Android tablet, wirelessly. In being a portable diagnostic lab which also contact doctors through the kit's this issue lies in employing frontline the tablet, a free-to-use application can run 33 diagnostic tests and screen telemedicine application. The various health workers for delivery of care. called Swasthya Slate allows the for diabetes, hypertension (one of the applications that are integrated within the Frontline health workers allow delivery healthcare worker to take demographic risk factors for CVD), and pre- tool have been developed by internationally of care and diagnostics in remote areas details as well as the clinical eclampsia. The results are instant and renowned clinicians. For example, the at affordable rates. They need, information of the patient. The worker the cost of conducting these tests is cardiovascular screening application was however, to be supported by use of can then use the diagnostic equipment one-tenth of the current market price. developed by leading Indian cardiologist Dr. technologies that can enable them to to take the patient's vitals which are In addition, it creates and maintains a Srinath Reddy. The oral cancer screening deliver diagnostics, provide care for stored in the memory of the tablet. database for screened populations, application utilizes the in-built camera to patients, generate referrals, deliver These are uploaded to a central server which could be analyzed by the take and transmit pictures of lesions to health communication and ensure that when the internet connection is healthcare workforce anytime and doctors who could be far away from patient every patient has access to his or her available, allowing for remote anywhere in the world for the purpose locations. Applications for nutrition records. In this context, PHFI's monitoring and telemedicine of epidemiology research. The test monitoring, immunizations of neonates, Affordable Health Technologies applications. The operation is simple includes detection of blood pressure, health communication, and advocacy also division has designed Swasthya Slate, a and hence this device can be used by sugar levels in the blood, heart rate, make this tool multipurpose. system that allows an Android all. The average learning time of the urine profile, foetal Doppler, onsite Its affordability, ease of use, ability to evolve tablet/phone to deliver 33 medical tool is five minutes and 30 seconds. typhoid IgG/IgM, malaria, HIV-1 and and be integrated with various applications, diagnostics using a single kit. It has The device was tested in rural Odisha HIV-2, hepatitis B virus, syphilis, to easy connectivity with the internet and the been validated in field tests in Punjab and Himachal Pradesh and will soon name a few. community make the Swasthya Slate an and Andhra Pradesh and is currently be tested in Jammu and Kashmir. The In addition to its importance as a important biomedical tool kit for India. being used internationally in Peru and test results show a 99.94 percent detection tool, Swasthya Slate records Timor Leste.

113 114 Affordable Health Technology Innovative technologies towards improving public health

Access to quality, affordable healthcare The overall framework of the Swasthya similarity to conventional expensive information regarding the location of in the developing world remains a Slate operations involves diagnostic detection devices. The success rate in patients and healthcare facilities through its challenge. The problem of providing devices interfaced to a Bluetooth unit. uploading test reports was 99.2 GPS system. It can store information the services is further complicated by An affordable diagnostic device has percent in test areas as remote as regarding patients that helps in longitudinal lack of doctors and trained been taken and readings have been 7200 feet in the upper Himalayas. monitoring by healthcare providers. practitioners in many rural and urban digitized. These digitized values are The importance of the device lies in it Accredited Social Health Activist care givers areas. A key intervention to address sent to an Android tablet, wirelessly. In being a portable diagnostic lab which also contact doctors through the kit's this issue lies in employing frontline the tablet, a free-to-use application can run 33 diagnostic tests and screen telemedicine application. The various health workers for delivery of care. called Swasthya Slate allows the for diabetes, hypertension (one of the applications that are integrated within the Frontline health workers allow delivery healthcare worker to take demographic risk factors for CVD), and pre- tool have been developed by internationally of care and diagnostics in remote areas details as well as the clinical eclampsia. The results are instant and renowned clinicians. For example, the at affordable rates. They need, information of the patient. The worker the cost of conducting these tests is cardiovascular screening application was however, to be supported by use of can then use the diagnostic equipment one-tenth of the current market price. developed by leading Indian cardiologist Dr. technologies that can enable them to to take the patient's vitals which are In addition, it creates and maintains a Srinath Reddy. The oral cancer screening deliver diagnostics, provide care for stored in the memory of the tablet. database for screened populations, application utilizes the in-built camera to patients, generate referrals, deliver These are uploaded to a central server which could be analyzed by the take and transmit pictures of lesions to health communication and ensure that when the internet connection is healthcare workforce anytime and doctors who could be far away from patient every patient has access to his or her available, allowing for remote anywhere in the world for the purpose locations. Applications for nutrition records. In this context, PHFI's monitoring and telemedicine of epidemiology research. The test monitoring, immunizations of neonates, Affordable Health Technologies applications. The operation is simple includes detection of blood pressure, health communication, and advocacy also division has designed Swasthya Slate, a and hence this device can be used by sugar levels in the blood, heart rate, make this tool multipurpose. system that allows an Android all. The average learning time of the urine profile, foetal Doppler, onsite Its affordability, ease of use, ability to evolve tablet/phone to deliver 33 medical tool is five minutes and 30 seconds. typhoid IgG/IgM, malaria, HIV-1 and and be integrated with various applications, diagnostics using a single kit. It has The device was tested in rural Odisha HIV-2, hepatitis B virus, syphilis, to easy connectivity with the internet and the been validated in field tests in Punjab and Himachal Pradesh and will soon name a few. community make the Swasthya Slate an and Andhra Pradesh and is currently be tested in Jammu and Kashmir. The In addition to its importance as a important biomedical tool kit for India. being used internationally in Peru and test results show a 99.94 percent detection tool, Swasthya Slate records Timor Leste.

113 114 "Health leaps out of science and draws nourishment from the society around it"

Gunnar Myrdal

115 116 "Health leaps out of science and draws nourishment from the society around it"

Gunnar Myrdal

115 116 Social Determinants of Health

Shaping a conducive social environment towards better health

The World Health Organisation's sustainable changes in the public Guiding Pro-Poor Investments in the Commission on Social Determinants of health scenario and move towards Nexus Among Domestic Water Health defines the Social Determinants universal health coverage. Quality and Quantity, Sanitation and of Health (SDH) as “the conditions in As a response to these needs, PHFI has Hygiene and Agriculture from the which people are born, grow, live, set up the South Asia Centre for Bottom-Up (WATSAN-AGRICULTURE work and age, including the health Disability Inclusive Development & NEXUS) system.” Research (SACDIR) and the Funded by The Center For Health is not merely a medical or Ramalingaswami Centre for Social Development Research (ZEF), The health systems issue. It is the Determinants of Health (RC-SDH) with Rheinische Friedrich-Wilhelms- consequence of multiple complex the objective of targeting action on Universität Bonn (University Of Bonn) interactions within the human body as multiple, intersecting, and overlapping and the Bill & Melinda Gates well as the social, economic, physical social determinants of health. The RC- Foundation, this project started in April environment in which a person lives. SDH has been established with funding 2013, it takes an interdisciplinary and Moreover, in India huge differences from the V. Ramalingaswami systems approach to identify tradeoffs, exist among and between classes, Foundation, while SACDIR has been synergies and thresholds, i.e., the gender, caste, and regions in both established in technical collaboration nexus, among water quality and quantity, sanitation and hygiene and disease burden and the health system's and support from the London School agriculture and their implication for response. Hence simultaneous action of Hygiene and Tropical Medicine, and investment priorities - made specific in on the social determinants like water its component institution, the community business plans - for a better and sanitation, nutrition security, International Centre for Evidence in health and nutrition outcome. environment, income security with Disability. The project is to be carried out at sites social inclusion, and equity across Given below are brief comments on in Ethiopia, Ghana, India, and gender, caste and religious categories is some PHFI-supported projects aimed Bangladesh with strong local partners necessary along with health system at improving the social determinants of strengthening so as to achieve who have considerable experience in health. field-based research.

117 118

Social Determinants of Health

Shaping a conducive social environment towards better health

The World Health Organisation's sustainable changes in the public Guiding Pro-Poor Investments in the Commission on Social Determinants of health scenario and move towards Nexus Among Domestic Water Health defines the Social Determinants universal health coverage. Quality and Quantity, Sanitation and of Health (SDH) as “the conditions in As a response to these needs, PHFI has Hygiene and Agriculture from the which people are born, grow, live, set up the South Asia Centre for Bottom-Up (WATSAN-AGRICULTURE work and age, including the health Disability Inclusive Development & NEXUS) system.” Research (SACDIR) and the Funded by The Center For Health is not merely a medical or Ramalingaswami Centre for Social Development Research (ZEF), The health systems issue. It is the Determinants of Health (RC-SDH) with Rheinische Friedrich-Wilhelms- consequence of multiple complex the objective of targeting action on Universität Bonn (University Of Bonn) interactions within the human body as multiple, intersecting, and overlapping and the Bill & Melinda Gates well as the social, economic, physical social determinants of health. The RC- Foundation, this project started in April environment in which a person lives. SDH has been established with funding 2013, it takes an interdisciplinary and Moreover, in India huge differences from the V. Ramalingaswami systems approach to identify tradeoffs, exist among and between classes, Foundation, while SACDIR has been synergies and thresholds, i.e., the gender, caste, and regions in both established in technical collaboration nexus, among water quality and quantity, sanitation and hygiene and disease burden and the health system's and support from the London School agriculture and their implication for response. Hence simultaneous action of Hygiene and Tropical Medicine, and investment priorities - made specific in on the social determinants like water its component institution, the community business plans - for a better and sanitation, nutrition security, International Centre for Evidence in health and nutrition outcome. environment, income security with Disability. The project is to be carried out at sites social inclusion, and equity across Given below are brief comments on in Ethiopia, Ghana, India, and gender, caste and religious categories is some PHFI-supported projects aimed Bangladesh with strong local partners necessary along with health system at improving the social determinants of strengthening so as to achieve who have considerable experience in health. field-based research.

117 118 Intermediate outcomes expected are makers and directly relate to the and began in July 2013. The review under the direction of its President, improved access to drinking water (in planning and organization of health includes a global overview of the Prof. K. Srinath Reddy, former UHC quality and quantity), better hygiene services. In this sense perhaps, gender evidence as well as a focus on HLEG chairperson, is now advancing practices, improved sanitation services inequalities are no different from evidence from programs in India plans for developing this framework and strengthened capacities for AG- inequalities associated with economic specifically. it has two components: and piloting and operationalizing it at WATSAN management at domestic and status or ethnic origin (and indeed ?a review of published literature subnational levels. community levels – all in relation to gender inequalities interact with such on evaluations of relevant In light of WHO's significant expertise actual investment costs and institutional other inequalities). This study, funded interventions; in health equity surveillance globally as actions The overall outcome measures by the Royal Norwegian Embassy, New ?key informant interviews with in- well as its role as Secretariat for the expected are improved health and Delhi, intends to inform and stimulate country implementers to gather Commission on Social Determinants of nutrition status of the population at such actions and interventions. information on the lessons Health, a two-day consultative study locations. learned during implementation of workshop was organized in June 2013, Addressing gender Responsive gender-integrated programming. jointly by PHFI and WHO. The Gender, Policy and workshop brought together key Primary Health Care In India The results of the review will be shared Measurement (GPM): Gender stakeholders from government, civil in early to mid-2014 through a series Gender ? the socially constructed and Reproductive, Maternal, society, and the research community to of dissemination workshops to inform traits, behaviors, and roles for women deliberate and chart steps towards the Newborn and Child Health and development of future gender- and men ? is an important, yet institutionalisation of an Indian model Adolescent Health (RMNCH + integrated programs in India. widely overlooked consideration in the for health equity surveillance or a design and delivery of healthcare A) Outcomes Systemic Review Workshop of India's National Health Equity Watch (HEW). The services. This study aims to explore PHFI, in collaboration with the Gender, Network on Social Determinants of workshop involved a series of how health policies and programs can Policy, and Measurement program Health on Health Equity Surveillance, productive discussions with respond to gender considerations with (implemented by MEASURE Evaluation Support Follow-Up to Universal enthusiastic participation by a range of the goal of enhancing utilization of and the Health Policy Project), is Health Coverage High Level Expert stakeholders from three countries and primary health services by women and conducting a systematic review of the Group (UHC-HLEG) eight Indian states. They included: Recommendation men. evidence on how gender programing ! Central Bureau of Health The key principle underlying this influences RMNCH+A, gender-based Universal Health Coverage reforms, Intelligence (CBHI), violence, tuberculosis, HIV, and and the degree to which they progress project is that adverse health outcomes ! Delhi's Ministry of Women and universal health coverage outcomes. equitably, require the development arising from differences in service Child Development, delivery to and service use by men and This study is funded by MEASURE and implementation of a ! National Health Systems Resource women is an inequality stemming from Evaluation, University of North comprehensive health equity watch. Centre, decisions made by health policy- Carolina at Chapel Hill, and USAID The Public Health Foundation of India,

119 120 Intermediate outcomes expected are makers and directly relate to the and began in July 2013. The review under the direction of its President, improved access to drinking water (in planning and organization of health includes a global overview of the Prof. K. Srinath Reddy, former UHC quality and quantity), better hygiene services. In this sense perhaps, gender evidence as well as a focus on HLEG chairperson, is now advancing practices, improved sanitation services inequalities are no different from evidence from programs in India plans for developing this framework and strengthened capacities for AG- inequalities associated with economic specifically. it has two components: and piloting and operationalizing it at WATSAN management at domestic and status or ethnic origin (and indeed ?a review of published literature subnational levels. community levels – all in relation to gender inequalities interact with such on evaluations of relevant In light of WHO's significant expertise actual investment costs and institutional other inequalities). This study, funded interventions; in health equity surveillance globally as actions The overall outcome measures by the Royal Norwegian Embassy, New ?key informant interviews with in- well as its role as Secretariat for the expected are improved health and Delhi, intends to inform and stimulate country implementers to gather Commission on Social Determinants of nutrition status of the population at such actions and interventions. information on the lessons Health, a two-day consultative study locations. learned during implementation of workshop was organized in June 2013, Addressing gender Responsive gender-integrated programming. jointly by PHFI and WHO. The Gender, Policy and workshop brought together key Primary Health Care In India The results of the review will be shared Measurement (GPM): Gender stakeholders from government, civil in early to mid-2014 through a series Gender ? the socially constructed and Reproductive, Maternal, society, and the research community to of dissemination workshops to inform traits, behaviors, and roles for women deliberate and chart steps towards the Newborn and Child Health and development of future gender- and men ? is an important, yet institutionalisation of an Indian model Adolescent Health (RMNCH + integrated programs in India. widely overlooked consideration in the for health equity surveillance or a design and delivery of healthcare A) Outcomes Systemic Review Workshop of India's National Health Equity Watch (HEW). The services. This study aims to explore PHFI, in collaboration with the Gender, Network on Social Determinants of workshop involved a series of how health policies and programs can Policy, and Measurement program Health on Health Equity Surveillance, productive discussions with respond to gender considerations with (implemented by MEASURE Evaluation Support Follow-Up to Universal enthusiastic participation by a range of the goal of enhancing utilization of and the Health Policy Project), is Health Coverage High Level Expert stakeholders from three countries and primary health services by women and conducting a systematic review of the Group (UHC-HLEG) eight Indian states. They included: Recommendation men. evidence on how gender programing ! Central Bureau of Health The key principle underlying this influences RMNCH+A, gender-based Universal Health Coverage reforms, Intelligence (CBHI), violence, tuberculosis, HIV, and and the degree to which they progress project is that adverse health outcomes ! Delhi's Ministry of Women and universal health coverage outcomes. equitably, require the development arising from differences in service Child Development, delivery to and service use by men and This study is funded by MEASURE and implementation of a ! National Health Systems Resource women is an inequality stemming from Evaluation, University of North comprehensive health equity watch. Centre, decisions made by health policy- Carolina at Chapel Hill, and USAID The Public Health Foundation of India,

119 120 ! Civil society and grassroots change with a particular focus on Climate Change: Addressing Ahmedabad Municipal government Hopkins Bloomberg School of Public Research and Policy in India organisations including the public health, especially for the most Heat-Health Vulnerability In piloted the ground-breaking Health, Johns Hopkins University. The Despite growing recognition that action People's Health Movement/ Jan 'Ahmedabad Heat Action Plan 2013: A focus of the RS 10 interventions are on vulnerable populations. Preparing for, Rapidly Urbanizing Regions Of on social determinants of health is Swasthya Abhiyan (JSA), the and responding to health emergencies Guide to Extreme Heat Planning in two risk factors ? reduction of drunk crucial for improving population Western India Society for Nutrition Education caused by changing climate will be Ahmedabad, India.' This event was driving and increase in helmet usage. health, no systematic compilation of and Health (SNEHA), the Self critical to saving lives and protecting Based on a previously conducted widely reported in the print and The program was started in August the levels and trends of social Employed Women's Association developing economies. research, four issue briefs in the Rising electronic media. 2012 includes activities such as determinants of health in India exists to (SEWA), the Child in Need In March 2011, the Public Health Temperatures, Deadly Threat series Scientific manuscripts on the research ! conducting observational studies guide policymaking. Institute (CINI), provide specific recommendations for Foundation of India and the Natural conducted are in various stages of of drunk driving and helmet use; Started at PHFI in 2010 and supported ! Academic institutions including how key stakeholders and the most completion. The first work titled 'A Resources Defense Council conducted ! conducting roadside surveys of by a grant from the UK-based BUPA the International Institute of vulnerable residents ? government Cross-Sectional, Randomized Cluster a workshop on Climate Change: Heat knowledge, attitudes, and Foundation, this effort aims to integrate Population Sciences (IIPS), officials, healthcare professionals, Sample Survey of Household and Health, Assessing Vulnerability in practices (KAP) related to drunk diverse evidence to identify the best Institute of Public Health (IPH), outdoor workers, and slum Vulnerability to Extreme Heat among Gujarat, which was sponsored by the driving and helmet use; ways to use the available evidence on and Azim Premji University U.S.-Indo Science and Technology communities ? can reduce Slum Dwellers in Ahmedabad, India' social determinants of health and ! establishing hospital-based (APU), Forum. It brought together leaders in vulnerability to extreme heat events in has just been published in the identify the major gaps to inform International Journal of Environmental surveillance in at least one (up to ! Senior technical resource persons the field to discuss strategies for Ahmedabad. further development of research and Research and Public Health. four) hospital to gather road traffic from Brazil and WHO developing and implementing policy to effectively reduce health The project team held high-level and injury data. headquarters. vulnerability assessments and related one-on-one meetings in March with inequities in India. preparedness plans. The research was Participants in the study include PHFI research scholars produced a the Ahmedabad Mayor, Ahmedabad National and sub-national analyses presented at the Indian Institute of Global Road Safety Program drivers and passengers along selected background paper. Municipal Corporation (AMC) Nodal were undertaken to understand the roadways, police, health professionals, Science in Bangalore at the third Officer and key AMC officials The Bloomberg Philanthropies Global trends of social determinants including Climate Change and Heat community leaders, members of the national conference of India Climate (including health officers), in Road Safety Program (formerly known education, environment, housing general public and victims of road Health Research Change research network and also in preparation for the formal launch of as the Road Safety in ten countries - RS conditions, poverty, water and the climate change network meeting in traffic crashes at the emergency Given the predictions of increased the Heat Action Plan. A blog by 10) is being implemented by a sanitation, nutrition, social protection, Delhi. Interns and dissertation students departments of hospitals. temperatures, rising sea levels, and NRDC's Kim Knowlton outlines the consortium of six international partners and governance over the past two from the Emory University and the changing disease patterns, there is a pre-launch activities in Ahmedabad in to improve road safety in ten countries, Synthesis of Evidence on the Social decades. This analytical assessment of CEPT University also participated. need for increased scientific research March 2013. In April 2013, the including India. It is funded by Johns Determinants of Health to Inform the data available for measuring the and study of adaptation to climate major social determinants of health in

121 122 ! Civil society and grassroots change with a particular focus on Climate Change: Addressing Ahmedabad Municipal government Hopkins Bloomberg School of Public Research and Policy in India organisations including the public health, especially for the most Heat-Health Vulnerability In piloted the ground-breaking Health, Johns Hopkins University. The Despite growing recognition that action People's Health Movement/ Jan 'Ahmedabad Heat Action Plan 2013: A focus of the RS 10 interventions are on vulnerable populations. Preparing for, Rapidly Urbanizing Regions Of on social determinants of health is Swasthya Abhiyan (JSA), the and responding to health emergencies Guide to Extreme Heat Planning in two risk factors ? reduction of drunk crucial for improving population Western India Society for Nutrition Education caused by changing climate will be Ahmedabad, India.' This event was driving and increase in helmet usage. health, no systematic compilation of and Health (SNEHA), the Self critical to saving lives and protecting Based on a previously conducted widely reported in the print and The program was started in August the levels and trends of social Employed Women's Association developing economies. research, four issue briefs in the Rising electronic media. 2012 includes activities such as determinants of health in India exists to (SEWA), the Child in Need In March 2011, the Public Health Temperatures, Deadly Threat series Scientific manuscripts on the research ! conducting observational studies guide policymaking. Institute (CINI), provide specific recommendations for Foundation of India and the Natural conducted are in various stages of of drunk driving and helmet use; Started at PHFI in 2010 and supported ! Academic institutions including how key stakeholders and the most completion. The first work titled 'A Resources Defense Council conducted ! conducting roadside surveys of by a grant from the UK-based BUPA the International Institute of vulnerable residents ? government Cross-Sectional, Randomized Cluster a workshop on Climate Change: Heat knowledge, attitudes, and Foundation, this effort aims to integrate Population Sciences (IIPS), officials, healthcare professionals, Sample Survey of Household and Health, Assessing Vulnerability in practices (KAP) related to drunk diverse evidence to identify the best Institute of Public Health (IPH), outdoor workers, and slum Vulnerability to Extreme Heat among Gujarat, which was sponsored by the driving and helmet use; ways to use the available evidence on and Azim Premji University U.S.-Indo Science and Technology communities ? can reduce Slum Dwellers in Ahmedabad, India' social determinants of health and ! establishing hospital-based (APU), Forum. It brought together leaders in vulnerability to extreme heat events in has just been published in the identify the major gaps to inform International Journal of Environmental surveillance in at least one (up to ! Senior technical resource persons the field to discuss strategies for Ahmedabad. further development of research and Research and Public Health. four) hospital to gather road traffic from Brazil and WHO developing and implementing policy to effectively reduce health The project team held high-level and injury data. headquarters. vulnerability assessments and related one-on-one meetings in March with inequities in India. preparedness plans. The research was Participants in the study include PHFI research scholars produced a the Ahmedabad Mayor, Ahmedabad National and sub-national analyses presented at the Indian Institute of Global Road Safety Program drivers and passengers along selected background paper. Municipal Corporation (AMC) Nodal were undertaken to understand the roadways, police, health professionals, Science in Bangalore at the third Officer and key AMC officials The Bloomberg Philanthropies Global trends of social determinants including Climate Change and Heat community leaders, members of the national conference of India Climate (including health officers), in Road Safety Program (formerly known education, environment, housing general public and victims of road Health Research Change research network and also in preparation for the formal launch of as the Road Safety in ten countries - RS conditions, poverty, water and the climate change network meeting in traffic crashes at the emergency Given the predictions of increased the Heat Action Plan. A blog by 10) is being implemented by a sanitation, nutrition, social protection, Delhi. Interns and dissertation students departments of hospitals. temperatures, rising sea levels, and NRDC's Kim Knowlton outlines the consortium of six international partners and governance over the past two from the Emory University and the changing disease patterns, there is a pre-launch activities in Ahmedabad in to improve road safety in ten countries, Synthesis of Evidence on the Social decades. This analytical assessment of CEPT University also participated. need for increased scientific research March 2013. In April 2013, the including India. It is funded by Johns Determinants of Health to Inform the data available for measuring the and study of adaptation to climate major social determinants of health in

121 122 India included exploring inequities by ATTEND Trial: Family-led The development of an effective low- state, gender, caste, and urbanization; rehabilitation after stroke in cost community rehabilitation service and discussing the role of national for an emerging major chronic disease, India government initiatives in addressing such as stroke, in India has the these areas. This analysis is being Strokes are the sixth overall leading potential to make an important public written up for publication. cause of the global disease burden. health impact. This project aims to The annual rate of new cases of stroke Multi-centric Collaborative Study on determine, with a multicentre, in India is 135 to 145 per 100,000 the impact of Global Warming, randomised, blinded outcome assessor, population, with early case fatality rates Environmental CEanges and Ultra controlled trial, whether a family-led ranging from 27 percent to 41 Violet Radiation (UVR) exposure on caregiver-delivered home-based percent. This equates to 1.5 million Ocular Health in India rehabilitation intervention versus usual people having a stroke each year, and care is an effective, affordable Early The project will undertake a case study a further 500,000 people, each year, Supported Discharge strategy for those of the Northeast region and the coastal living with stroke disability. with disabling stroke in India. It started region in South India in comparison to The most important treatment for in January 2013 and is funded by the Delhi and the National Capital Region stroke is well coordinated and National Health and Medical Council, (NCR) for the impact of increased UVR organized acute care. Although Australia. on prevalence of cataract, dry eye, and inpatient care and rehabilitation may pterygium in people above 40 years meet important clinical, physical, and and allergic disorders in children psycho-social needs during the early between 5 and 15 years. crisis phase, the needs of patients and It is funded by the Indian Council of family in the long-term are not easily Medical Research and was initiated in addressed in hospital. 2010. The relevant data on ozone and UVR will be collected through satellite measurements at Guwahati and coastal South India and the medical data will Other Projects be collected through Risk Assessment Surveys by teams from Dr. R. P. Centre Project Title Funding Body (North India), Regional Institute of Building the Research Capacity of Ophthalmology in Guwahati (North Sightsavers Regional and Area Office Sightsavers (Royal Commonwealth East), and the Centre for Disability, Functionaries Society for The Blind) PHFI, Hyderabad (coastal South India).

123 124 India included exploring inequities by ATTEND Trial: Family-led The development of an effective low- state, gender, caste, and urbanization; rehabilitation after stroke in cost community rehabilitation service and discussing the role of national for an emerging major chronic disease, India government initiatives in addressing such as stroke, in India has the these areas. This analysis is being Strokes are the sixth overall leading potential to make an important public written up for publication. cause of the global disease burden. health impact. This project aims to The annual rate of new cases of stroke Multi-centric Collaborative Study on determine, with a multicentre, in India is 135 to 145 per 100,000 the impact of Global Warming, randomised, blinded outcome assessor, population, with early case fatality rates Environmental CEanges and Ultra controlled trial, whether a family-led ranging from 27 percent to 41 Violet Radiation (UVR) exposure on caregiver-delivered home-based percent. This equates to 1.5 million Ocular Health in India rehabilitation intervention versus usual people having a stroke each year, and care is an effective, affordable Early The project will undertake a case study a further 500,000 people, each year, Supported Discharge strategy for those of the Northeast region and the coastal living with stroke disability. with disabling stroke in India. It started region in South India in comparison to The most important treatment for in January 2013 and is funded by the Delhi and the National Capital Region stroke is well coordinated and National Health and Medical Council, (NCR) for the impact of increased UVR organized acute care. Although Australia. on prevalence of cataract, dry eye, and inpatient care and rehabilitation may pterygium in people above 40 years meet important clinical, physical, and and allergic disorders in children psycho-social needs during the early between 5 and 15 years. crisis phase, the needs of patients and It is funded by the Indian Council of family in the long-term are not easily Medical Research and was initiated in addressed in hospital. 2010. The relevant data on ozone and UVR will be collected through satellite measurements at Guwahati and coastal South India and the medical data will Other Projects be collected through Risk Assessment Surveys by teams from Dr. R. P. Centre Project Title Funding Body (North India), Regional Institute of Building the Research Capacity of Ophthalmology in Guwahati (North Sightsavers Regional and Area Office Sightsavers (Royal Commonwealth East), and the Centre for Disability, Functionaries Society for The Blind) PHFI, Hyderabad (coastal South India).

123 124 “I do the very best I know how, the very best I can, and I mean to keep on doing so until the end.”

Abraham Lincoln

125 126 “I do the very best I know how, the very best I can, and I mean to keep on doing so until the end.”

Abraham Lincoln

125 126 Publications Articles in Journals Jan – Aug 2013

1. Abbas, SS, Kakkar, M. Systems thinking habits on body mass index change among rural Haryana, India. J Hum Behav Soc needed for rabies control. Lancet. 2013; adult women in India: Findings from a follow Environ. 2013; 23:437-61. 381:200. up study. Ecol Food Nutr. 2013: [In Press]. 13. Agrawal, S, Unisa, S, Agrawal, P. 2. Abbas, SS, Kakkar, M. Research and policy 7. Agrawal, P, Gupta, K, Mishra, V, Agrawal, Pregnancies, abortion and women’s disconnect yet again: The case of rabies S. Causes, consequences and preventive reproductive health in rural Haryana, India. research in India. Indian J Med Res. 2013: measures of obesity: Awareness among Journal of Nursing Science & Practice. [In Press]. normal weight, overweight and obese 2013; 3:29-38. women in India. Int J Med Public Health. 3. Addo, OY, Stein, AD, Fall, CH, Gigante, 14. Arora, M, Mathur, MR, Singh, N. A 2013: [In Press]. DP, Guntupalli, AM, Horta, BL, Kuzawa, framework to prevent and control tobacco CW, Lee, N, Norris, SA, Prabhakaran, P, 8. Agrawal, S. Association between legume among adolescents and children: introducing Richter, LM, Sachdev, HS, Martorell, R, intake and self-reported diabetes among the IMPACT model. Indian J Pediatr. 2013; Consortium on Health Orientated Research adult men and women in India BMC Public 80 Suppl 1:S55-62. in Transitional Societies (COHORTS) Group. Health. 2013: [In Press]. 15. Arora, M, Nazar, GP. Prohibiting tobacco Maternal Height and Child Growth Patterns. 9. Agrawal, S, Karan, A, Selvaraj, S, Bhan, N, advertising, promotions and sponsorships: J Pediatr. 2013: [Epub ahead of print]. Subramanian, SV, Millett, C. Socio-economic Tobacco control best buy. Indian J Med Res. 4. Agrawal, P, Agrawal, S. Vitamin A patterning of tobacco use in Indian states. Int 2013; 137:867-70. supplementation among children in India: J Tuberc Lung Dis. 2013; 17:1110-7. Does their socioeconomic status and the 16. Aubinière-Robb, L, Jeemon, P, Hastie, 10. Agrawal, S, Pearce, N, Ebrahim, S. economic and social development status of CE, Patel, RK, McCallum, L, Morrison, Prevalence and risk factors for self-reported their state of residence make a difference? D, Walters, M, Dawson, J, Sloan, W, asthma in an adult Indian population: a Int J Med Public Health. 2013; 3:48-54. Muir, S, Dominiczak, AF, McInnes, GT, cross-sectional survey. Int J Tuberc Lung Dis. Padmanabhan, S. Blood pressure response 5. Agrawal, P, Gupta, K, Mishra, V, Agrawal, 2013; 17:275-82. to patterns of weather fluctuations and effect S. A study on body-weight perception, 11. Agrawal, S, Unisa, S. Pregnancies, abortion on mortality. Hypertension. 2013; 62:190- future intention and weight-management and women’s health in rural Haryana, India. 6. behaviour among normal-weight, overweight J Community Med Health Educ. 2013; and obese women in India. Public Health 3:207-12. 17. Babu, G, R., Srikanthi, BN, Jotheeswaran, Nutr. 2013:[Epub ahead of print]. AT. Epidemiological correlates of breast 12. Agrawal, S, Unisa, S, Agrawal, P. Women’s 6. Agrawal, P, Gupta, K, Mishra, V, Agrawal, cancer in South India. Asian Pac J Cancer childhood experience: a perspective from S. Effects of sedentary lifestyle and dietary Prev. 2013: [In Press]. 127 18. Babu, GR, Mahapatra, T, Mahapatra, S, referral: children with disabilities identified cephalosporins among clinical osolates of Kumar, S, Hussain, MA. Epidemiology through the Key Informant Method in Klebsiella pneumoniae in the United States, methods for practice by obstetricians in Bangladesh. Disabil Rehabil. 2013: [Epub 1999-2010. Infect Control Hosp Epidemiol. developing countries - I. Internet Scientific ahead of print]. 2013; 34:259-68. Publication. 2013; 11. 24. Bele, SD, Bodhare, TN, Valsangkar, S, Saraf, 28. Chakravarty, N, Harmer, A. Social 19. Baig, MB, Panda, B, Chauhan, AS, Das, A. An epidemiological study of emotional determinants affecting the implementation JK. Is public private partnership an effective and behavioral disorders among children in of ICDS programme in Maharastra, India. alternative to government in the provision of an urban slum. Psychol Health Med. 2013; International Journal of Sociology and primary healthcare? A case study in Odisha. 18:223-32. Social Policy. 2013:[Epub ahead of print]. J Health Manag. 2013: [In Press]. 25. Bourne, R, Price, H, Taylor, H, Leasher, J, 29. Chakravarty, N, Pati, S. Do inequalities in 20. Bailey, PK, Tomson, CR, Kinra, S, Ebrahim, S, Keeffe, J, Glanville, J, Sieving, PC, Khairallah, child health get wider as countries develop? Radhakrishna, KV, Kuper, H, Nitsch, D, M, Wong, TY, Zheng, Y, Mathew, A, Katiyar, Int J Child Health Hum Dev. 2013; 6. S, Mascarenhas, M, Stevens, GA, Resnikoff, Ben-Shlomo, Y. Differences in estimation of 30. Chatterjee, S, Laxminarayan, R. Costs of S, Gichuhi, S, Naidoo, K, Wallace, D, Kymes, creatinine generation between renal function surgical procedures in Indian hospitals. BMJ S, Peters, C, Pesudovs, K, Braithwaite, T, estimating equations in an Indian population: Open. 2013; 3. cross-sectional data from the Hyderabad arm Limburg, H, Disease Vision Loss Expert of the Indian migration study. BMC Nephrol. Group, Dandona, R, Dandona, L, for 31. Chatterjee, S, Levin, C, Laxminarayan, R. 2013; 14:30. Global Burden of Disease Vision Loss Expert Unit cost of medical services at different Group. New systematic review methodology hospitals in India. PLoS One 2013: [In 21. Balasubramaniam, P, Marten, R. From for visual impairment and blindness for Press]. ripple to tsunami? Universal Health Coverage the 2010 Global Burden of Disease study. (UHC) in India and beyond: regional and Ophthalmic Epidemiol. 2013; 20:33-9. 32. Chiyaka, C, Tatem, AJ, Cohen, JM, Gething, global implications of India’s move towards PW, Johnston, G, Gosling, R, Laxminarayan, UHC. Journal of Contemporary Politics. 26. Brahmapurkar, KP, Lanjewar, AG, Zodpey, R, Hay, SI, Smith, DL. Infectious disease. 2013: [In Press]. SP, Brahmapurkar, VKS, Khan, QH, Khakse, The stability of malaria elimination. Science. GM, Sinha, T, Giri, VC, Shrivastava, 2013; 339:909-10. 22. Basu, S, Glantz, S, Bitton, A, Millett, C. The PK, Chauhan, VKS. Morbidities in the effect of tobacco control measures during a glass factory workers of Central India. 33. Clark, AD, Griffiths, UK, Abbas, SS, Rao, KD, period of rising cardiovascular disease risk in International Organization of Scientific Privor-Dumm, L, Hajjeh, R, Johnson, H, India: A mathematical model of myocardial Research Journal of Dental and Medical Sanderson, C, Santosham, M. Impact and infarction and stroke. PLoS Med. 2013; Sciences. 2013; 7:29-33. cost-effectiveness of Haemophilus influenzae 10:e1001480. type B conjugate vaccination in India. J 27. Braykov, NP, Eber, MR, Klein, EY, Morgan, Pediatr. 2013; 163:S60-72. 23. Bedford, J, Mackey, S, Parvin, A, Muhit, M, DJ, Laxminarayan, R. Trends in resistance Murthy, GVS. Reasons for non-uptake of to carbapenems and third-generation

128 34. Dale, CE, Bowling, A, Adamson, J, Kuper, H, 41. Dudala, SR, Gopi Krishna, B, Rao, AR, 47. Finzer, LE, Ajay, VS, Ali, MK, Shivashankar, Amuzu, A, Ebrahim, S, Casas, JP, Nuesch, E. Reddy, BC, Patki, SM, Patki, MB. Utilisation R, Goenka, S, Sharma, P, Pillai, DS, Predictors of patterns of change in health- pattern of aarogyasri health insurance Khandelwal, S, Tandon, N, Reddy, KS, related quality of life in older women over scheme by cancer patients in Khammam Narayan, KM, Prabhakaran, D. Fruit 7 years: evidence from a prospective cohort district, Andhra Pradesh. Int J Bio Med Res. and vegetable purchasing patterns and study. Age Ageing. 2013; 42:312-8. 2013; 4:3041-5. preferences in South Delhi. Ecol Food Nutr. 2013; 52:1-20. 35. Dandona, L, Kumar, GA, Lakshmi, V, 42. Ebrahim, S. Improving causal inference. Int J Ahmed, GMM, Akbar, M, Ramgopal, Epidemiol. 2013; 42:363-6. 48. Fortes, C, Mastroeni, S, Sperati, A, Pacifici, R, SP, Sudha, T, Alary, M, Dandona, R. HIV Zuccaro, P, Francesco, F, Agabiti, N, Piras, G, 43. Ebrahim, S, Pearce, N, Smeeth, L, Casas, JP, incidence from the first population-based Amleto, D, Ebrahim, S. Walking four times Jaffar, S, Piot, P. Tackling non-communicable cohort study in India. BMC Infect Dis. 2013; weekly for at least 15min is associated with diseases in low- and middle-income 13:327. longevity in a Cohort of very elderly people. countries: is the evidence from high-income Maturitas. 2013; 74:246-51. 36. Das, A, Babu, GR, Ghosh, P, Mahapatra, countries all we need? PLoS Med. 2013; T, Malmgren, R, Detels, R. Epidemiologic 10:e1001377. 49. Gandra, S, Braykov, N, Laxminarayan, R. correlates of willingness to be tested for HIV East North Central region has the highest 44. Edeghere, O, Shankar, G, Bartholomew, and prior testing among married men in prevalence of vancomycin-resistant A, Ramachandra, S, Singh, V, Banandur, India. Int J STD AIDS. 2013:[Epub ahead of enterococcus faecalis in the United States. P, Parr, L, Yap, K, Olowokure, B, Ibbotson, print]. Infect Control Hosp Epidemiol. 2013; S. International collaboration for improved 34:443-5. 37. Davey Smith, G, Egger, M, Ebrahim, S. Re: public health emergency preparedness and “need for more individual-level meta- response in India. Online Journal of Public 50. Garg, P, Kaur, S, Gupta, D, Osmond, C, analyses in social epidemiology: example of Health Informatics. 2013; 5:e152. Lakshmy, R, Sinha, S, Kapil, U, Sachdev, job strain and coronary heart disease”. Am J HP. Variability of thinness and its relation 45. Elliott, HR, Walia, GK, Duggirala, A, Epidemiol. 2013; 178:153-4. to cardio-metabolic risk factors using four Groom, A, Reddy, SU, Chandak, GR, body mass index references in school- 38. Dawson, J, Jeemon, P, Hetherington, L, Judd, Gupta, V, Laakso, M, Dekker, JM, The children from Delhi, India. Indian Pediatr. C, Hastie, C, Schulz, C, Sloan, W, Muir, S, Risc Consortium, Walker, M, Ebrahim, S, 2013:[Epub ahead of print]. Jardine, A, McInnes, G, Morrison, D, Smith, GD, Relton, CL. Migration and DNA Dominiczak, AF, Padmanabhan, S, Walters, M. methylation: a comparison of methylation 51. Ghosh, A, Wright, FA, Zou, F. Unified Serum uric acid level, longitudinal blood patterns in type 2 diabetes susceptibility analysis of secondary traits in case-control pressure, renal function, and long-term genes between Indians and Europeans. association studies. Journal of the American mortality in treated hypertensive patients. Journal of Diabetes Research and Clinical Statistical Association. 2013; 108:566-76. Hypertension. 2013; 62:105-11. Metabolism. 2013; 2. 52. Giraldez, RR, Clare, RM, Lopes, RD, 39. Devasenapathy, N, Neogi, SB, Zodpey, SP. 46. Ezekowitz, JA, Bakal, JA, Westerhout, Dalby, AJ, Prabhakaran, D, Brogan, GX, Is intravenous iron sucrose the treatment CM, Giugliano, RP, White, H, Keltai, M, Jr., Giugliano, RP, James, SK, Tanguay, JF, of choice for pregnant anemic women? J Prabhakaran, D, Tricoci, P, Van de Werf, Pollack, CV, Jr., Harrington, RA, Braunwald, Obstet Gynaecol Res. 2013; 39:619-26. F, Califf, RM, Newby, LK, Armstrong, PW. E, Newby, LK. Prevalence and clinical The relationship between meteorological outcomes of undiagnosed diabetes mellitus 40. Dohare, S, Garg, VK, Sarkar, BK. A study of conditions and index acute coronary events and prediabetes among patients with hospital waste management status in health in a global clinical trial. Int J Cardiol. high-risk non-ST-segment elevation acute facilities of an urban area. Int J Pharm Bio 2013:[Epub ahead of print]. coronary syndrome. Am Heart J. 2013; Sci. 2013; 4:1107-12. 165:918-25 e2. 129 53. Gupta, I, Guin, P, Trivedi, M. The new 54:110-21. 65. Josyula, L, Lyle, R. Health care provider patent regime and disease priorities in India. physical activity prescription intervention. 59. Jalili, M, Pati, S, Rath, B, Bjørklund, G, Glob Public Health. 2013; Am J Health Education. 2013; 44:162-8. Singh, RB. Effect of diet and nutrients on 8:37-54. molecular mechanism of gene expression 66. Josyula, L, Lyle, R. Cross cultural comparison 54. Gupta, V, Vinay, DG, Sovio, U, Rafiq, S, mediated by nuclear receptor and epigenetic of attitudes towards aging and physical Kranthi Kumar, MV, Janipalli, CS, Evans, D, modulation. The Open Nutraceuticals activity. World Cultures eJournal 2013: [In Mani, KR, Sandeep, MN, Taylor, A, Kinra, S, Journal. 2013; 6:27-34. Press]. Sullivan, R, Bowen, L, Timpson, N, Smith, 60. Jeemon, P, Prabhakaran, D. Does uric acid 67. Josyula, LK, Lyle, RM. Barriers in the GD, Dudbridge, F, Prabhakaran, D, Ben- qualify as an independent risk factor for implementation of a physical activity Shlomo, Y, Reddy, KS, Ebrahim, S, Chandak, cardiovascular mortality? Clin Sci (Lond). intervention in primary care settings: lessons GR. Association Study of 25 Type 2 Diabetes 2013; 124:255-7. learned. Health Promot Pract. 2013; 14:81-7. Related Loci with Measures of Obesity in Indian Sib Pairs. PLoS One. 2013; 8:e53944. 61. Jefferis, BJ, Whincup, PH, Welsh, P, 68. Kakkar, M, Rogawski, ET, Abbas, SS, Wannamethee, SG, Rumley, A, Ebrahim, S, Chaturvedi, S, Tapan, D, Hossain, SS, 55. Hogerzeil, HV, Jonathan, L, Wirtz, VJ, Lawlor, DA, Lowe, GD. Prospective study of Krishnan, SK. Quality of surveillance data for Kishore, SP, Selvaraj, S, Kiddell-Monroe, IL-18 and risk of MI and stroke in men and acute encephalitis syndrome and Japanese R, Mwangi-Powell, FN, Schoen-Angerer, women aged 60-79 years: A nested case- encephalitis in Kushinagar district, Uttar TV, The Lancet NCD Action Group. control study. Cytokine. 2013; 61:513-20. Pradesh, 2011-2012. Emerging infectious Promotion of access to essential medicines diseases. 2013: [In Press]. for non-communicable diseases: practical 62. Jena, PK, Kishore, J, Jahnavi, G. Correlates implications of the UN political declaration. of digit bias in self-reporting of cigarette 69. Karthikeyan, G, Sengottuvan, NB, Joseph, Lancet. 2013; 381:680-9. smoked per day (CPD) frequency: results J, Devasenapathy, N, Bahl, VK, Airan, B. from Global Adult Tobacco Survey (GATS), Urgent surgery compared with fibrinolytic 56. Huan, X, Tang, W, Babu, GR, Li, J, Zhang, India and its implications. Asian Pac J therapy for the treatment of left-sided M, Liua, X, Yan, H, Fu, G, Zhao, J, Yang, H, Cancer Prev. 2013; 14:3866-9. prosthetic heart valve thrombosis: a Detels, R. HIV risk-reduction counseling and systematic review and meta-analysis testing on behavior change of MSM. PLoS 63. Jena, PK, Kishore, J, Sarkar, BK. Global Adult of observational studies. Eur Heart J. One. 2013; 8:e69740. Tobacco Survey (GATS): A case for change 2013:[Epub ahead of print]. in definition, analysis and interpretation 57. Huffman, MD, Prabhakaran, D, Abraham, of “cigarettes” and “cigarettes per day” in 70. Khan, TA, Shah, T, Prieto, D, Zhang, W, AK, Krishnan, MN, Nambiar, AC, Mohanan, completed and future GATS surveys. Asian Price, J, Fowkes, GR, Cooper, J, Talmud, PP, on behalf of the Kerala Acute Coronary Pac J Cancer Prev. 2013; 14:3299-304. PJ, Humphries, SE, Sundstrom, J, Hubacek, Syndrome Registry, I. Optimal in-hospital and JA, Ebrahim, S, Lawlor, DA, Ben-Shlomo, discharge medical therapy in acute coronary 64. Jimenez Soto, E, La Vincente, S, Clark, A, Y, Abdollahi, MR, Slooter, AJ, Szolnoki, Z, syndromes in Kerala: Results from the Kerala Firth, S, Morgan, A, Dettrick, Z, Dayal, P, Sandhu, M, Wareham, N, Frikke-Schmidt, Acute Coronary Syndrome Registry.Circ Aldaba, BM, Kosen, S, Kraft, AD, Panicker, R, Tybjaerg-Hansen, A, Fillenbaum, G, Cardiovasc Qual Outcomes. 2013: [Epub R, Prasai, Y, Trisnantoro, L, Varghese, B, Heijmans, BT, Katsuya, T, Gromadzka, G, ahead of print]. Widiati, Y, Investment Case Team for India Singleton, A, Ferrucci, L, Hardy, J, Worrall, Indonesia Nepal Papua New Guinea the 58. Jackson, S, Mathews, KH, Pulanic, D, B, Rich, SS, Matarin, M, Whittaker, J, Gaunt, Philippines. Investment case for improving Falconer, R, Rudan, I, Campbell, H, Nair, H. TR, Whincup, P, Morris, R, Deanfield, J, maternal and child health: results from Risk factors for severe acute lower respiratory Donald, A, Davey Smith, G, Kivimaki, M, four countries. BMC Public Health. 2013; infections in children: a systematic review Kumari, M, Smeeth, L, Khaw, KT, Nalls, M, 13:601. and meta-analysis. Croat Med J. 2013; Meschia, J, Sun, K, Hui, R, Day, I, Hingorani, 130 AD, Casas, JP. Apolipoprotein E genotype, 77. Klein, EY, Laxminarayan, R. The potential 84. Luksic, I, Kearns, PK, Scott, F, Rudan, cardiovascular biomarkers and risk of stroke: impact of age and season on methicillin- I, Campbell, H, Nair, H. Viral etiology systematic review and meta-analysis of 14,015 resistant Staphylococcus aureus prevalence. of hospitalized acute lower respiratory stroke cases and pooled analysis of primary Future Microbiol. 2013; 8:809-12. infections in children under 5 years of age -- biomarker data from up to 60,883 individuals. a systematic review and meta-analysis. Croat 78. Klein, EY, Sun, L, Smith, DL, Int J Epidemiol. 2013; 42:475-92. Med J. 2013; 54:122-34. Laxminarayan, R. The changing 71. Khandelwal, S, Kelly, L, Richa, M, epidemiology of methicillin-resistant 85. Lyngdoh, T, Viswanathan, B, Kobrosly, R, Prabhakaran, D, Reddy, KS. Impact of staphylococcus aureus in the United States: a van Wijngaarden, E, Huber, B, Davidson, omega-6 fatty acids on cardiovascular national observational study.Am J Epidemiol. PW, Cory-Slechta, DA, Strain, S, Myers, outcomes: A review. J Prevetive Cardiology. 2013: [Epub ahead of print]. GJ, Bovet, P. Blood pressure and cognitive 2013; 2:325-36. function: a prospective analysis among 79. Kumar, B, Sharma, K, Zodpey, S. The adolescents in Seychelles. J Hypertens. nomenclature and classification of human 72. Khandelwal, S, Shidhaye, R, Demonty, I, 2013; 31:1175-82. resources for health: A review. J Health Lakshmy, R, Gupta, R, Prabhakaran, D, Manag. 2013; 15:203-26. 86. Mackay, J, Ritthiphakdee, B, Reddy, KS. Reddy, KS. Impact of omega-3 fatty acids Tobacco control in Asia. Lancet. 2013; and/or plant sterol supplementation on 80. Lakshmi, JK. Feeding the problem, seeking 381:1581-7. non-HDL cholesterol levels of dyslipidemic a solution: India’s nutrition and health Indian adults. Journal of Functional Foods. paradox. J Health Manag. 2013: [In Press]. 87. Makela, SM, Dandona, R, Dilip, TR, 2013; 5:36-43. Dandona, L. Social sector expenditure and 81. Lamy, A, Devereaux, PJ, Prabhakaran, D, child mortality in India: a state-level analysis 73. Khandelwal, S, Siegel, KR, Narayan, KMV. Taggart, DP, Hu, S, Paolasso, E, Straka, Z, from 1997 to 2009. PLoS One. 2013; Nutrition research in India: Underweight, Piegas, LS, Akar, AR, Jain, AR, Noiseux, 8:e56285. stunted, or wasted? Global Heart. 2013; N, Padmanabhan, C, Bahamondes, JC, 8:131-7. Novick, RJ, Vaijyanath, P, Reddy, KS, Tao, 88. Makela, SM, Dandona, R, Dilip, TR, L, Olavegogeascoechea, PA, Airan, B, Dandona, L. Erratum: Social sector 74. Kinra, S, Radha Krishna, KV, Kuper, H, Sulling, TA, Whitlock, RP, Ou, Y, Pogue, expenditure and child mortality in India: a Sarma, KVR, Prabhakaran, P, Gupta, V, J, Chrolavicius, S, Yusuf, S, Coronary state-level analysis from 1997 to 2009. PLoS Walia, GK, Bhogadi, S, Kulkarni, B, Kumar, Investigators. Effects of off-pump and on- One. 2013; 8. pump coronary-artery bypass grafting at 1 A, Aggarwal, A, Gupta, R, Prabhakaran, 89. Malik, A, Taneja, DK, Devasenapathy, N, year. N Engl J Med. 2013; 368:1179-88. D, Reddy, KS, Smith, GD, Ben-Shlomo, Y, Rajeshwari, K. Short-course prophylactic Ebrahim, S. Cohort Profile: Andhra Pradesh 82. Lee, JT, Agrawal, S, Basu, S, Glantz, SA, zinc supplementation for diarrhea morbidity Children and Parents Study (APCAPS). Int J Millett, C. Association between smoke- in infants of 6 to 11 months. Pediatrics. Epidemiol. 2013: [In Press]. free workplace and second-hand smoke 2013:[Epub ahead of print]. exposure at home in India. Tob Control. 75. Kishore, J, Jena, PK, Bandyopadhyay, C, 90. Mathur, C, Stigler, MH, Erickson, DJ, Perry, 2013:[Epub ahead of print]. Swain, M, Das, S, Banerjee, I. Hardcore CL, Finnegan, JR, Jr., Arora, M, Reddy, smoking in three South-East Asian countries: 83. Luksic, I, Clay, S, Falconer, R, Pulanic, D, KS. Change in tobacco use over time in Results from the global adult tobacco survey. Rudan, I, Campbell, H, Nair, H. Effectiveness urban Indian youth: the moderating role of Asian Pac J Cancer Prev. 2013; 14:625-30. of seasonal influenza vaccines in children - a socioeconomic status. Health Educ Behav. 76. Kishore, SP, Basu, S, Selvaraj, S. Access to systematic review and meta-analysis. Croat 2013:[Epub ahead of print]. cancer medicines in India. Lancet Oncol. Med J. 2013; 54:135-45. 2013; 14:e136.

131 91. Millett, C, Agrawal, S, Sullivan, R, Vaz, M, AW, Andrade, AL, Ope, M, Ruvinsky, RO, 104. Nandi, A, Megiddo, I, Prabhakaran, D, Kurpad, A, Bharathi, AV, Prabhakaran, D, Hortal, M, McCracken, JP, Madhi, SA, Bruce, Laxminarayan, R. An agent-based simulation Reddy, KS, Kinra, S, Smith, GD, Ebrahim, N, Qazi, SA, Morris, SS, El Arifeen, S, Weber, modelling approach to extended cost- S, for the Indian Migration Study Group. MW, Scott, JA, Brooks, WA, Breiman, RF, effectiveness analysis of health interventions. Associations between active travel to work Campbell, H, for the Severe Acute Lower Lancet. 2013; 381:S96. and overweight, hypertension, and diabetes Respiratory Infections Working Group. 105. Nazar, GP, Gupta, VK, Millett, C, Arora, in India: A cross-sectional study. PLoS Med. Global and regional burden of hospital M. Tobacco imagery in Bollywood films: 2013; 10:e1001459:1-12. admissions for severe acute lower respiratory 2006–2008. Heart Asia. 2013; 5:44-6. infections in young children in 2010: a 92. Mohan, S, Campbell, N, Chockalingam, A. systematic analysis. Lancet. 2013; 381:1380- 106. Neogi, SB, Singh, R, Malhotra, S, Zodpey, Time to effectively address hypertension in 91. SP, Chauhan, M. Courses in reproductive India. Indian J Med Res. 2013; 137:627-31. and child health in India: An overview. 98. Nair, R. Predictors of health behaviours 93. Mohan, S, Mini, GK, Thankappan, KR. Indian J Public Health. 2013; 57:15-9. among people with recently diagnosed Type High knowledge of Framework Convention 2 diabetes. Int J Med Sci Public Health. 107. Newson, RS, Lion, R, Crawford, RJ, Curtis, on Tobacco Control provisions among 2013; 2:364-75. V, Elmadfa, I, Feunekes, GI, Hicks, C, van local government representatives does not Liere, M, Lowe, CF, Meijer, GW, Pradeep, B, translate into effective implementation: 99. Nair, R. Psychosocial covariates of physical Reddy, KS, Sidibe, M, Uauy, R. Behaviour findings from Kerala, India. Public Health. activity in recently diagnosed Type 2 change for better health: nutrition, hygiene 2013; 127:178-81. diabetes patients. Global Journal of and sustainability. BMC Public Health. Medicine and Public Health. 2013; 2:1-13. 94. Mohan, S, Prabhakaran, D, Krishnan, A. 2013; 13:S1. Promoting population-wide salt reduction in 100. Nakkeeran, N, Sharma, K, Zodpey, SP. 108. Ng, M, Shanker-Raman, P, Mehta, R, Costa, South East Asia Region: current status and Teaching social and behavioural sciences in AD, Mavalankar, DV. Initial results on the future directions. WHO South-East Asia medical and public health in India. South impact of Chiranjeevi Yojana: a public? Journal of Public Health. 2013; 17:72-9. East Asia journal of Medical Education. Private partnership programme for maternal 2013:[In Press]. 95. Mohanta, BC, Panda, B, Chauhan, AS, health in Gujarat, India. Lancet. 2013; Pati, S, Nallala, S. Eye healthcare seeking 101. Nambiar, D. Ethnography and HPSR: Critical 381:S98. behavior of rural elderly in Mayurbhanj reflections on fieldwork and policymaking 109. Pagidipati, NJ, Huffman, MD, Jeemon, P, district of Odisha – An exploratory study. in India. Indian Anthropologist. 2013:[In Gupta, R, Negi, P, Jaison, TM, Sharma, S, Indian Journal of Public Health Research & Press]. Sinha, N, Mohanan, P, Muralidhara, BG, Development. 2013:[In Press]. 102. Nambiar, D. India’s “Tryst” with universal Bijulal, S, Sivasankaran, S, Puri, VK, Jose, 96. Murali Prasad, MR, Kumar, VB. health coverage: Observations of J, Reddy, KS, Prabhakaran, D. Association Web resources for neurologists and ethnography in Indian health policymaking. between gender, process of care measures, neurosurgeons. Annals of Neurosciences. Soc Sci Med. 2013:[In Press]. and outcomes in ACS in India: results from 2013; 20:18-23. the detection and management of Coronary 103. Nandi, A, Ashok, A, Laxminarayan, R. Heart Disease (DEMAT) Registry. PLoS One. 97. Nair, H, Simoes, EA, Rudan, I, Gessner, BD, The socioeconomic and institutional 2013; 8:e62061. Azziz-Baumgartner, E, Zhang, JS, Feikin, DR, determinants of participation in India’s Mackenzie, GA, Moiisi, JC, Roca, A, Baggett, Health Insurance Scheme for the poor. PLoS 110. Painschab, MS, Davila-Roman, VG, Gilman, HC, Zaman, SM, Singleton, RJ, Lucero, One. 2013; 8:e66296. RH, Vasquez-Villar, AD, Pollard, SL, Wise, MG, Chandran, A, Gentile, A, Cohen, C, RA, Miranda, JJ, Checkley, W, Collaborators: Krishnan, A, Bhutta, ZA, Arguedas, A, Clara, Ebrahim, S, For Cronicas Cohort Study

132 Group. Chronic exposure to biomass 117. Raban, MZ, Dandona, R, Dandona, L. HD, Prabhakaran, D, Winters, KJ, Aylward, fuel is associated with increased carotid Variations in catastrophic health expenditure PE, Bassand, JP, McGuire, DK, Ardissino, D, artery intima-media thickness and a higher estimates from household surveys in India Fox, KA, Armstrong, PW. Elderly patients prevalence of atherosclerotic plaque. Heart. Bull World Health Organ. 2013: [Epub with acute coronary syndromes managed 2013; 99:984-91. ahead of print]. without revascularization insights into the safety of long-term dual antiplatelet therapy 111. Panda, R, Jena, PK. Examining physicians’ 118. Raj, SS, Maine, D, Sahoo, PK, Manthri, with reduced-dose prasugrel vs. standard- preparedness for tobacco cessation services S, Chauhan, K. Meeting the community dose clopidogrel. Circulation. 2013:[Epub in India: Findings from primary care halfway to reduce maternal deaths? Evidence ahead of print]. public health facilities in two Indian states. from a community-based maternal death Australas Med J. 2013; 6:115-21. review in Uttar Pradesh, India. Glob Health 125. Sadhu, G, Chaudhary, M, Chakravarty, N. Sci Pract. 2013; 1:84-96. Health Risk Assessment of Domestic Roof 112. Panda, R, Persai, D, Arora, M. Leveraging Water Harvesting Using Failure Mode and tobacco control research in India: the need 119. Raman, PS, Mavalankar, DV, Iyer, V, Effects Analysis: Evidence from Nagaur, for setting up a tobacco control research Sydney, K, Mehta, R, Vora, K. Impact of a Rajasthan, India. Human and Ecological network. Addiction. 2013:[Epub ahead of public?private performance-based financing Risk Assessment: An International Journal. print]. partnership on the proportion of caesarean 2013: [Epub ahead of print]. section deliveries: a cross-sectional study. 113. Patel, V, Belkin, GS, Chockalingam, A, Lancet. 2013; 381:S121. 126. Safraj, S, Ajay, VS, Prabhakaran, D. Cooper, J, Saxena, S, Unützer, J. Grand Heart failure: meeting the challenges of challenges: integrating mental health services 120. Rao, KD, Ramani, S, Hazarika, I, George, surveillance and knowledge translation in into priority health care platforms. PLoS MS. When do vertical programmes resource-poor settings. Curr Cardiol Rev. Med. 2013; 10:e1001448. strengthen health systems? A comparative 2013; 9:99-101. assessment of disease-specific interventions 114. Prem Kumar, SG, Kumar, GA, Poluru, R, in India. Health Policy Plan. 2013; 28:[Epub 127. Saha, S, Annear, PL, Pathak, S. The effect of Schneider, JA, Dandona, L, Vemu, L, Sudha, ahead of print]. self-help groups on access to maternal health T, Mayer, KH, Dandona, R. Contact with HIV services: evidence from rural India. Int J prevention programmes & willingness for 121. Rao, KD, Sundararaman, T, Bhatnagar, A, Equity Health. 2013; 12:36. new interventions among truckers in India. Gupta, G, Kokho, P, Jain, K. Which doctor Indian J Med Res. 2013; 137:1061-71. for primary health care? Quality of care and 128. Salam, A, Stewart, F, Singh, K, Thom, S, non-physician clinicians in India. Soc Sci 115. Prusty, SK, Panda, B, Chauhan, AS, Das, JK. Williams, HJ, Patel, A, Jan, S, Laba, T, Med. 2013; 84:30-4. Factors affecting coverage of immunization Prabhakaran, D, Maulik, P, Day, S, Ward, H. services in urban slums of Odisha. 122. Reddy, KS. Evidence-based interventions INterpreting the processes of the UMPIRE Healthcare in Low-resource Settings. in low- and middle income countries: the Trial (INPUT): protocol for a qualitative 2013:[In Press]. tigress awakens. J Adolesc Health. 2013; process evaluation study of a fixed-dose 52:S5-S6. combination (FDC) strategy to improve 116. Puri, M, Kaur, L, Walia, GK, adherence to cardiovascular medications. Mukhopadhhyay, R, Sachdeva, MP, Trivedi, 123. Reddy, KS, Roy, A. Cardiovascular risk of BMJ Open. 2013; 3:1-4. SS, Ghosh, PK, Saraswathy, KN. MTHFR NSAIDs: Time to translate knowledge into C677T polymorphism, folate, vitamin B12 practice. PLoS Med. 2013; 10:e1001389. 129. Sanneving, L, Trygg, N, Saxena, DB, and homocysteine in recurrent pregnancy Mavalankar, DV, Thomsen, S. Inequity in 124. Roe, MT, Goodman, SG, Ohman, EM, losses: a case control study among north India: the case of maternal and reproductive Stevens, SR, Hochman, JS, Gottlieb, S, Indian women. J Perinat Med. 2013:[Epub health. Glob Health Action. 2013; 6:1-31. Martinez, F, Dalby, AJ, Boden, WE, White, ahead of print]

133 130. Sarkar, BK. Re: The effect of perceived risks milk and milk product consumption and 143. Sharma, A, Pati, S, Chakravarty, N, on the demand for vaccination: results from anthropometric measures in adult men and Chauhan, AS. Physicians’ nutritional a discrete choice experiment. PLoS One. women in India: A cross-sectional study. counselling practices- a study in district 2013; 8:e54149. PLoS One. 2013; 8:e60739. hospitals of Chhattisgarh. Int J Med Public Health. 2013:[Epub ahead of print]. 131. Sarkar, BK. Re: Can India pull off its 137. Saxena, D, Nakkeeran, S, Vangani, R, ambitious National Health Mission? Lack of Mavalankar, DV. Trends in institutional 144. Sharma, B, Johansson, E, Prakasamma, M, a public health cadre and an accountability deliveries among disadvantaged groups Mavalankar, DV, Christensson, K. Midwifery framework in government health services and the impact of intervention in Gujarat: scope of practice among staff nurses: A and non existence of a potent regulatory evidence from secondary data analysis. grounded theory study in Gujarat, India. authority for the private sector involvement Lancet. 2013; 381:S129. Midwifery. 2013; 29:628-36. will impede implementation and thwart the 138. Saxena, DB, Vangani, R, Mavalankar, DV, 145. Sharma, K, Zodpey, SP, Gaidhane, A, Syed, objectives of National Health Mission. BMJ. Thomsen, S. Inequity in maternal health care ZQ, Kumar, R, Morgan, A. Designing the 2013; 346:f2134/rr/640613. service utilization in Gujarat: analyses of framework for competency-based master 132. Sarkar, BK. Re: World could be declared district-level health survey data. Glob Health of public health programs in India. J Public free of polio by 2018. BMJ. 2013; Action. 2013; 6:1-9. Health Manag Pract. 2013; 19:30-9. 346:f2373/rr/644604. 139. Selvaraj, S, Karan, A. Publicly-financed 146. Sharma, K, Zodpey, SP, Quazi, SZ, 133. Sarkar, BK. Re: Why is India short of nurses health insurance schemes: a response Econ Gaidhane, A, Sawleshwarkar, S, Khaparde, and what can we do about it? India needs to Polit Wkly. 2013; 48:125-6. S. Mapping and opportunities of human resource capacity building initiatives for HIV/ develop and implement a nurse centric but 140. Shah, S, Casas, JP, Gaunt, TR, Cooper, J, AIDS in India. Ann Trop Med Public Health. physician guided health care delivery model Drenos, F, Zabaneh, D, Swerdlow, DI, Shah, 2013; 6:30-41. of “nurse practitioners” to ensure both T, Sofat, R, Palmen, J, Kumari, M, Kivimaki, quality and quantity of health professionals. M, Ebrahim, S, Smith, GD, Lawlor, DA, 147. Sharma, K, Zodpey, SP, Syed, QZ, BMJ. 2013; 346:f4024/rr/651481. Talmud, PJ, Whittaker, J, Day, IN, Hingorani, Gaidhane, A. Career opportunities for master 134. Sarkar, BK, Arora, M, Gupta, VK, Reddy, AD, Humphries, SE. Influence of common of public health graduates in India. Asia Pac KS. Determinants of tobacco cessation genetic variation on blood lipid levels, J Health Management. 2013; 8:45-50. cardiovascular risk, and coronary events in behaviour among smokers and smokeless 148. Sheeladevi, S, Mekala, J, Pujari, S, Rani, PK. two British prospective cohort studies. Eur tobacco users in the states of Gujarat and Impact of a district-wide diabetes prevention Heart J. 2013; 34:972-81. Andhra Pradesh, India. Asian Pac J Cancer programme involving health education Prev. 2013; 14:1931-5. 141. Shah, SP, Nair, R, Shah, PP, Modi, DK, Desai, for children and the community. Health 135. Sarkar, BK, Dohare, S. Re: Rx: A dose of SA, Desai, L. Improving quality of life with Education Journal. 2013:[Epub ahead of ethics to revive trust in medical practice. new menstrual hygiene practices among print]. adolescent tribal girls in rural Gujarat, India. Not just a dose of ethics but a slow infusion 149. Shidhaye, R, Kermode, M. Stigma and Reprod Health Matters. 2013; 21:205-13. right from medical school and creation discrimination as a barrier to mental health of appropriate “role models” and “model 142. Shahab, L, Sarkar, BK, West, R. The service utilization in India. Int Health. 2013; institutions”. BMJ. 2013; 346:f2987/ acute effects of yogic breathing exercises 5:6-8. rr/645222 on craving and withdrawal symptoms in 150. Shidhaye, R, Mendenhall, E, Sumathipala, abstaining smokers. Psychopharmacology 136. Satija, A, Agrawal, S, Bowen, L, Khandpur, K, Sumathipala, A, Patel, V. Association of (Berl). 2013; 225:875-82. N, Kinra, S, Prabhakaran, D, Reddy, KS, somatoform disorders with anxiety and Smith, GD, Ebrahim, S. Association between 134 depression in women in low and middle 157. Srivastava, S, Malhotra, S, Harries, A, 163. Thomsen, S, Ng, N, Biao, X, Bondjers, G, income countries: A systematic review. Int Lal, P, Arora, M. Correlates of tobacco Kusnanto, H, Liem, NT, Mavalankar, DV, Rev Psychiatry. 2013; 25:65-76. quit attempts and cessation in the adult Malqvist, M, Diwan, V. Bringing evidence population of India: secondary analysis of to policy to achieve health-related MDGs 151. Shinde, S, Andrew, G, Bangash, O, Cohen, the Global Adult Tobacco Survey, 2009--10. for all: justification and design of the EPI-4 A, Kirkwood, B, Patel, V. The impact of a lay BMC Public Health. 2013; 13:263. project in China, India, Indonesia, and counselor led collaborative care intervention Vietnam. Glob Health Action. 2013; 6:1-10. for common mental disorders in public and 158. Stephen, MM, Jayanthi, JL, Unni, NG, private primary care: A qualitative evaluation Kolady, PE, Beena, VT, Jeemon, P, Subhash, 164. Tran, KV, Azhar, GS, Nair, R, Knowlton, K, nested in the MANAS trial in Goa, India. Soc N. Diagnostic accuracy of diffuse reflectance Jaiswal, A, Sheffield, P, Mavalankar, DV, Sci Med. 2013; imaging for early detection of pre-malignant Hess, J. A cross-sectional, randomized cluster 88:48-55. and malignant changes in the oral cavity: a sample survey of household vulnerability feasibility study. BMC Cancer. 2013; 13:278. to extreme heat among slum dwellers in 152. Shroff, ZC, Murthy, S, Rao, KD. Attracting ahmedabad, india. Int J Environ Res Public doctors to rural areas: a case study of the 159. Tabassum, R, Chauhan, G, Dwivedi, OP, Health. 2013; 10:2515-43. post-graduate seat reservation scheme in Mahajan, A, Jaiswal, A, Kaur, I, Bandesh, Andhra Pradesh. Indian J Community Med. K, Singh, T, Mathai, BJ, Pandey, Y, 165. Vellakkal, S. Determinants of enrolment 2013; 38:27-32. Chidambaram, M, Sharma, A, Chavali, S, in voluntary health insurance: evidences Sengupta, S, Ramakrishnan, L, Venkatesh, from a mixed method study, Kerala, India. 153. Shroufi, A, Chowdhury, R, Anchala, R, P, Aggarwal, SK, Ghosh, S, Prabhakaran, D, International Journal of Financial Research. Stevens, S, Blanco, P, Han, T, Niessen, L, Reddy, KS, Saxena, M, Banerjee, M, Mathur, 2013; 4:99-107. Franco, O. Cost effective interventions for the S, Bhansali, A, Shah, VN, Madhu, SV, prevention of cardiovascular disease in low 166. Vellakkal, S. Impact of private health Marwaha, RK, Basu, A, Scaria, V, McCarthy, and middle income countries: a systematic insurance on lengths of hospitalization and MI, Venkatesan, R, Mohan, V, Tandon, N, review. BMC Public Health. 2013; 13:285. healthcare expenditure in India: evidences Bharadwaj, D. Genome-wide association from a quasi-experiment study. Indian 154. Singh, A, Rouxel, P, Watt, RG, Tsakos, G. study for type 2 diabetes in Indians identifies Journal of Economics and Development. Social inequalities in clustering of oral health a new susceptibility locus at 2q21. Diabetes. 2013; 1:24-8. related behaviors in a national sample of 2013; 62:977-86. British adults. Prev Med. 2013: [Epub ahead 167. Vellakkal, S, Ebrahim, S. Publicly-financed 160. Taylor, A, Dangour, AD, Reddy, KS. Only of print]. health insurance schemes. Econ Polit Wkly. collective action will end undernutrition. 2013; 48:24-7. 155. Singh, PV, Tatambhotla, A, Kalvakuntla, Lancet. 2013: [Epub ahead of print]. R, Chokshi, M. Understanding public 168. Vellakkal, S, Subramanian, SV, Millett, 161. Taylor, F, Huffman, MD, Macedo, AF, drug procurement in India: a comparative C, Basu, S, Stuckler, D, Ebrahim, S. Moore, TH, Burke, M, Davey Smith, G, qualitative study of five Indian states. BMJ Socioeconomic inequalities in non- Ward, K, Ebrahim, S. Statins for the primary Open. 2013; 3:e001987. communicable diseases prevalence in India: prevention of cardiovascular disease. Disparities between self-reported diagnoses 156. Smith, DL, Cohen, JM, Chiyaka, C, Johnston, Cochrane Database Syst Rev. 2013; and standardized measures. PLoS One. G, Gething, PW, Gosling, R, Buckee, CO, 1:CD004816. 2013; 8:e68219. Laxminarayan, R, Hay, SI, Tatem, AJ. A sticky 162. Thomsen, S, Biao, X, Kusnanto, H, situation: the unexpected stability of malaria 169. Vimaleswaran, KS, Berry, DJ, Lu, C, Mavalankar, DV, Malqvist, M, Ng, N, elimination. Philos Trans R Soc Lond B Biol Tikkanen, E, Pilz, S, Hiraki, LT, Cooper, Diwan, V. The world we want: focus on the Sci. 2013; 368:20120145. JD, Dastani, Z, Li, R, Houston, DK, Wood, most disadvantaged. Glob Health Action. AR, Michaelsson, K, Vandenput, L, Zgaga, 2013; 6:1-3. 135 L, Yerges-Armstrong, LM, McCarthy, Frayling, TM, Kritchevsky, SB, Spector, TD, randomization analysis of multiple cohorts. MI, Dupuis, J, Kaakinen, M, Kleber, ME, Richards, JB, Lehtimaki, T, Ouwehand, WH, PLoS Med. 2013; 10:e1001383. Jameson, K, Arden, N, Raitakari, O, Viikari, Kraft, P, Cooper, C, Marz, W, Power, C, Loos, 170. Walker, CL, Rudan, I, Liu, L, Nair, H, J, Lohman, KK, Ferrucci, L, Melhus, H, RJ, Wang, TJ, Jarvelin, MR, Whittaker, JC, Theodoratou, E, Bhutta, ZA, O’Brien, KL, Ingelsson, E, Byberg, L, Lind, L, Lorentzon, Hingorani, AD, Hypponen, E, Collaborators: Campbell, H, Black, RE. Global burden M, Salomaa, V, Campbell, H, Dunlop, Ebrahim, S, For Genetic Investigation of of childhood pneumonia and diarrhoea. M, Mitchell, BD, Herzig, KH, Pouta, A, Anthropometric Traits Giant Consortium. Lancet. 2013; 381:1405-16. Hartikainen, AL, Streeten, EA, Theodoratou, Causal relationship between obesity and E, Jula, A, Wareham, NJ, Ohlsson, C, vitamin D status: bi-directional Mendelian Aug – Dec 2012

1. Acharya, A, Vellakkal, S, Taylor, F, Masset, E, Pradesh, India. J Epidemiol Community The role of decision support system (DSS) Satija, A, Burke, M, Ebrahim, S. The impact Health. 2012:[Epub ahead of print]. in prevention of cardiovascular disease: a of health insurance schemes for the informal systematic review and meta-analysis. PLoS 6. Agrawal, S, Agrawal, P. Adolescent risk- sector in low- and middle-income countries: One. 2012; 7:e47064. taking behaviour in India: The influence a systematic review. The World Bank of socio-economic characteristics and 11. Arora, M, Madhu, R. Banning smokeless Research Observer. 2012: [Epub ahead of living arrangement. Journal of Community tobacco in India: Policy analysis.Indian J print]. Nutrition & Health. 2012; 1:26-31. Cancer. 2012; 49:336-41. 2. Agrawal, P, Agrawal, S. Obesity and 7. Agrawal, S, Unisa, S, Agrawal, P. Psychological 12. Arora, M, Millett, C, Reddy, KS. Tobacco reproductive health among Indian women. problems after abortion: Findings from rural and CVD: Challenges and opportunities. Journal of Society and Communication. Haryana, India. Journal of Family Welfare. Global Heart. 2012; 7:95-8. 2012; 1:38-68. 2012; 58:1-8. 13. Arora, M, Nazar, GP, Gupta, VK, Perry, 3. Agrawal, P, Agrawal, S. Emerging obesity 8. Ajay, VS, Praveen, PA, Millett, C, Kinra, S, CL, Reddy, KS, Stigler, MH. Association of threats among women in India: findings from Prabhakaran, D. Role of mobile phone breakfast intake with obesity, dietary and a population based survey. Int J Trop Med. technology in tobacco cessation interventions. physical activity behavior among urban 2012; 7:177-86. Global Heart. 2012; 7:167-74. school-aged adolescents in Delhi, India: 4. Agrawal, P, Agrawal, S, Unisa, S. Spatial, results of a cross-sectional study. BMC Public 9. Anchala, R, Parakkad, A, Nair, S. socio-economic and demographic variation Health. 2012; 12:881. CAPSMART- Capacity building of front line of childlessness in India: A special reference health workers by smartphone enabled 14. Arrow, KJ, Danzon, PM, Gelband, H, to reproductive health and marital training based on community derived Jamison, D, Laxminarayan, R, Mills, A, breakdown. Global Journal of Medicine decision markers for primary prevention and Mwabu, G, Panosian, C, Peto, R, White, NJ. and Public Health. 2012; 1:1-15. health promotion of non-communicable The affordable medicines facility-malaria: 5. Agrawal, PK, Agrawal, S, Mullany, LC, diseases. GSTF Journal of BioSciences. killing it slowly. Lancet. 2012; 380:1889-90. Darmstadt, GL, Kumar, V, Kiran, U, Ahuja, 2012; 1:43-7. 15. Azhar, GS. Physician shortage: Bottlenecks RC, Srivastava, VK, Santosham, M, Black, RE, 10. Anchala, R, Pinto, MP, Shroufi, A, in financing, managing, training and a rush Baqui, AH. Clean cord care practices and Chowdhury, R, Sanderson, J, Johnson, L, for specialization. Nat J Med All Sci. 2012; neonatal mortality: evidence from rural Uttar Blanco, P, Prabhakaran, D, Franco, OH. 1:1-5.

136 16. Azhar, GS, Azhar, AZ. Teleshopping for 24. Bettadapura, GS, Donthi, K, Datti, NP, 30. Channon, AA, Andrade, MV, Noronha, K, health. Lancet. 2012; 380:e8-e9. Ranganath, BG, Shamanna, BR, Jayaram, Leone, T, Dilip, TR. Inpatient care of the TS. Assessment of avoidable blindness using elderly in Brazil and India: Assessing social 17. Azhar, GS, Azhar, AZ, Azhar, AS. Overwork the rapid assessment of avoidable blindness inequalities. Soc Sci Med. 2012; 75:2394- among residents in India: A medical methodology.N Am J Med Sci. 2012; 4:389-93. 402. resident’s perspective. J Fam Med Primary Care. 2012; 1:141-3. 25. Birnie, K, Ben-Shlomo, Y, Gunnell, D, 31. Charan, J, Goyal, JP, Saxena, DB, Yadav, P. Ebrahim, S, Bayer, A, Gallacher, J, Holly, JM, Vitamin D for prevention of respiratory tract 18. Babu, G, Sathyanarayana, TN, Jana, S, Martin, RM. Childhood milk consumption is infections: A systematic review and meta- Nandy, S, Farid, M, Sadhana, SM. Role associated with better physical performance analysis. J Pharmacol Pharmacother. 2012; of catch-up campaigns in improving in old age. Age Ageing. 2012; 41:776-84. 3:300-3. immunization services in a developing country. Ann Trop Med Public Health. 26. Bourne, R, Price, H, Stevens, G, Dandona, 32. Chockalingam, A, Tolunay, HE, 2012; 5:441-6. L, Dandona, R, For Global Burden of Prabhakaran, D, Narula, J. Household air Disease Vision Loss Expert Group. Global pollution: an emerging risk factor for CVD. 19. Babu, GR, Ramachandra, SS, Garikipati, burden of visual impairment and blindness. Global Heart. 2012; 7:197-9. U, Mahapatra, T, Mahapatra, S, Narayana, Arch Ophthalmol-Chic. 2012; 130:645-7. S, Pant, H. Maternal health correlates of 33. Choi, M, Prieto-Merino, D, Dale, C, Nuesch, neonatal deaths in a tribal area in India. The 27. Bowen, L, Bharathi, AV, Kinra, S, Destavola, E, Amuzu, A, Bowling, A, Ebrahim, S, Casas, Internet Journal of Epidemiology. 2012; 10. B, Ness, A, Ebrahim, S. Development and JP. Effect of changes in moderate or vigorous evaluation of a semi-quantitative food physical activity on changes in health-related 20. Bauman, AE, Reis, RS, Sallis, JF, Wells, JC, frequency questionnaire for use in urban quality of life of elderly British women over Loos, RJ, Martin, BW, Collaborators from and rural India. Asia Pac J Clin Nutr. 2012; seven years. Qual Life Res. 2012:[Epub India: Goenka, S, for the Lancet Physical 21:355-60. ahead of print]. Activity Series Working Group. Correlates of physical activity: why are some people 28. Brahmapurkar, KP, Lanjewar, AG, Zodpey, 34. Dandona, L. New report suggests UK-India physically active and others not? Lancet. SP, Brahmapurkar, VK, Khakse, GM, Thakre, partnership to improve primary healthcare 2012; 380:258-71. SB, Giri, VC. Heat stress and its effect BMJ. 2012; 344:e3410. in glass factory workers of central India. 21. Beaglehole, R, Bonita, R, Horton, R, Ezzati, 35. Deodhar, SY, Mahandiratta, S, Ramani, KV, International Journal of Engineering M, Bhala, N, Amuyunzu-Nyamongo, M, Mavalankar, DV, Ghosh, S, Braganza, V. An Research & Technology. 2012; 1:1-13. Mwatsama, M, Reddy, KS. Measuring evaluation of mid day meal scheme. Journal progress on NCDs: one goal and five targets. 29. CARRS trial writing group, Shah, S, of Indian School of Political Economy. Lancet. 2012; 380:1283-5. Singh, K, Ali, MK, Mohan, V, Kadir, MM, 2012; 22:33-48. Unnikrishnan, AG, Sahay, RK, Varthakavi, 22. Bekibele, CO, Murthy, GVS. Barriers to 36. Dhillon, PK, Kenfield, SA, Stampfer, MJ, P, Dharmalingam, M, Viswanathan, V, cataract surgery of persons screened at Giovannucci, EL, Chan, JM. Aspirin use Masood, Q, Bantwal, G, Khadgawat, R, camps in Ibadan, Nigeria. Afr J Med Sci. after a prostate cancer diagnosis and cancer Desai, A, Sethi, BK, Shivashankar, R, Ajay, 2012; 41:257-64. survival in a prospective cohort. Cancer Prev VS, Reddy, KS, Narayan, KM, Prabhakaran, Res (Phila). 2012; 5:1223-8. 23. Bele, S, Bodhare, TN, Mudgalkar, N, Saraf, D, Tandon, N. Improving diabetes care: A, Valsangkar, S. Health-related quality of multi-component cardiovascular disease risk 37. Dilip, TR. Why use consumer expenditure life and existential concerns among patients reduction strategies for people with diabetes survey for analysis of the RSBY? Econ Polit with end-stage renal disease. Indian J Palliat in South Asia-the CARRS Multi-center Wkly. 2012; XLVII:75-6. Care. 2012; 18:103-8. translation trial. Diabetes Res Clin Pract. 2012; 98:285-94. 137 38. Dilip, TR. On publicly-financed health treated without revascularization: the the ‘hardcore’ definition to smokeless insurance schemes. Econ Polit Wkly. 2012; TRILOGY ACS platelet function substudy. tobacco use: estimates from a nationally XLVII:79-80. JAMA. 2012; 308:1785-94. representative population in India and its implications. Asian Pac J Cancer Prev. 2012; 39. Downs, SM, Thow, AM, Ghosh-Jerath, S, 46. Hallal, PC, Andersen, LB, Bull, FC, Guthold, 13:5959-63. McNab, J, Reddy, KS, Leeder, SR. From R, Haskell, W, Ekelund, U, Collaborators Denmark to Delhi: the multisectoral from India: Goenka, S, for the Lancet 53. Jena, PK, Kishore, J. Prevalence and challenge of regulating trans fats in India. Physical Activity Series Working Group. correlates of hardcore smoking in India. Public Health Nutr. 2012:1-8. Global physical activity levels: surveillance Research & Reviews: A Journal of progress, pitfalls, and prospects. Lancet. Medicine. 2012; 2. 40. Ebrahim, S. The lights went out. Int J 2012; 380:247-57. Epidemiol. 2012; 41:1213-7. 54. Jena, PK, Kishore, J, Bandyopadhyay, C. 47. Hazarika, I. Risk factors for HIV-1 infection Prevalence and patterns of tobacco use in 41. Engelgau, MM, Karan, A, Mahal, A. The in India: evidence from the National Family Asia. Lancet. 2012; 380:1906; author reply Economic impact of Non-communicable Health Survey. Int J STD AIDS. 2012; -7. Diseases on households in India. Global 23:729-35. Health. 2012; 8:9. 55. Jimenez Soto, E, La Vincente, S, Clark, A, 48. Herzog, CM, Dey, S, Hablas, A, Khaled, HM, Firth, S, Morgan, A, Dettrick, Z, Dayal, P, 42. Fan, VY, Karan, A, Mahal, A. State health Seifeldin, IA, Ramadan, M, El-Hamzawy, Aldaba, BM, Varghese, B, Trisnantoro, L, insurance and out-of-pocket health H, Wilson, ML, Soliman, AS. Geographic Prasai, Y, for Investment Case Team for India expenditures in Andhra Pradesh, India. Int J distribution of hematopoietic cancers in Indonesia Nepal Papua New Guinea and the Health Care Finance Econ. 2012; 12:189- the Nile delta of Egypt. Ann Oncol. 2012; Philippines. Developing and costing local 215. 23:2748-55. strategies to improve maternal and child 43. Ghaffar, A, Tran, NT, Reddy, KS, Kasonde, health: the investment case framework. PLoS 49. Huffman, MD, Bloomfield, GS, Lisandro, J, Bajwa, T, Ammar, W, Ren, M, Rottingen, Med. 2012; 9:e1001282. DC, Prabhakaran, P, Ajay, VS, Lewison, JA, Mills, A. Changing mindsets in health G, Prabhakaran, D. Abstract P776: 56. Josyula, L, Sheikh, K, Sathyanarayana, T, policy and systems research. Lancet. 2012; Cardiovascular research output and average Nambiar, D, Narayan, V, Porter, J. Engaging 381:436-7. citation index of Argentina, India, and traditional, complementary and alternative 44. Ghosh, R, Sharma, AK. Missing female South Africa: A Bibliometric Approach. health providers for essential health service fetus: a micro level investigation of sex Circulation. 2012; 125:e890. delivery in India: a policy analysis. BMC determination in a periurban area of Proc. 2012; 6:O31. 50. Hussain, MA, Pati, S, Swain, S, Prusty, M, northern India. Health Care Women Int. Kadam, S, Nayak, S. Pattern and trends 57. Kadam, S, Pati, S, Hussain, MA, Nallala, 2012; 33:1020-34. of cancer in Odisha, India: a retrospective S, Chakravarty, N, Panda, B, Sahu, B, 45. Gurbel, PA, Erlinge, D, Ohman, EM, Neely, study. Asian Pac J Cancer Prev. 2012; Chauhan, AS, Ray, S, Swain, S. Assessment B, Neely, M, Goodman, SG, Huber, K, 13:6333-6. of factors influencing retention of health Chan, MY, Cornel, JH, Brown, E, Zhou, workforce in rural and remote areas of 51. Jaykaran, C, Saxena, DB, Mulla, S. C, Jakubowski, JA, White, HD, Fox, KA, Odisha, India. BMC Proc. 2012; 6:O4. Prophylaxis and treatment for leptospirosis: Prabhakaran, D, Armstrong, PW, Tantry, where are the evidences? Natl J Physiol 58. Kakkar, M. Dengue fever is massively under- US, Roe, MT, for the TRILOGY ACS Platelet Pharm Pharmacol. 2012; 2:78-83. reported in India, hampering our response. Function Substudy Investigators. Platelet BMJ. 2012; 345:e8574. function during extended prasugrel and 52. Jena, PK, Bandyopadhyay, C, Mathur, clopidogrel therapy for patients with ACS MR, Das, S. Extending application of

138 59. Kalvakuntla, RR, Singh, PV, Chokshi, M, study. Southeast Asian J Trop Med Public Physical Activity Series Working Group. Tatambhotla, A. Replicating Tamil Nadu’s Health. 2012; 43:1262-72. Effect of physical inactivity on major drug procurement model. Econ Polit Wkly. non-communicable diseases worldwide: 67. Lakshmy, R, Mathur, P, Gupta, R, Shah, B, 2012; 47:26-9. an analysis of burden of disease and life Anand, K, Mohan, V, Desai, NG, Mahanta, expectancy. Lancet. 2012; 380:219-29. 60. Kaushik, U, Shrivastava, R, Arora, M, J, Joshi, PP, Thankappan, KR. Measurement Reddy, KS. Abstract P714: Scaling up of cholesterol and triglycerides from a dried 74. Lund, C, Tomlinson, M, De Silva, M, Fekadu, a successful school based tobacco use blood spot in an Indian Council of Medical A, Shidhaye, R, Jordans, M, Petersen, I, prevention program in India: from efficacy to Research-World Health Organization Bhana, A, Kigozi, F, Prince, M, Thornicroft, effectiveness. Circulation. 2012; 125:e898. multicentric survey on risk factors for G, Hanlon, C, Kakuma, R, McDaid, D, noncommunicable diseases in India. J Clin Saxena, S, Chisholm, D, Raja, S, Kippen- 61. Khandelwal, S, Shidhaye, R, Prabhakaran, Lipidol. 2012; 6:33-41. Wood, S, Honikman, S, Fairall, L, Patel, D, Reddy, KS. Abstract P779: Impact of V. PRIME: A Programme to Reduce the plant sterols, fish oil omega-3s and their 68. Lakshmy, R, Prabhakaran, D, Tarik, Treatment Gap for Mental Disorders in Five combination on HDL-C in Indian adults. M, Gupta, R, Reddy, KS. LDL particle Low- and Middle-Income Countries. PLoS Circulation. 2012; 125:e912. heterogeneity, and its association with other Med. 2012; 9:e1001359. established cardiovascular risk factors in a 62. Kohl, HW, 3rd, Craig, CL, Lambert, EV, young Indian industrial population. Heart 75. Madhu, R. Prioritizing research on multi- Inoue, S, Alkandari, JR, Leetongin, G, Asia. 2012; 4:141-5. stakeholder approach to improve physical Kahlmeier, S, Collaborators from India: activity among adolescents in India. Global Goenka, S, for the Lancet Physical Activity 69. Lakshmy, R, Vemparala, K, Roy, A, Bahl, Journal of Medicine and Public Health. Series Working Group. The pandemic of VK, Prabhakaran, D, Sinha, S, Pandey, 2012; 1:1-2. physical inactivity: global action for public RM, Nath, N, Reddy, KS. Abstract P318- health. Lancet. 2012; 380:294-305. Endothelial progenitor cell senescence in 76. Madhu, R. Re: More health professionals for premature CAD patients. Circulation. 2012; rural India. BMJ. 2012; 345:e8339. 63. Kumar, G, Mohan, S, Yadav, L, Arora, M. 125:e317. Global tobacco surveys: information for 77. Madhu, R, Beinum, Av. A systematic review action by cardiologists. Global Heart. 2012; 70. Lal, P, Wilson, NC, Srivastava, S, Millett, of community hand washing interventions 7:99-105. C. Should the legal age for the purchase of leading to changes in hygiene behavior in tobacco be increased to 21 Years? Global the developing world. Global Journal of 64. Kumar, G, Sharma, I, Kabir, Z. Noncigarette Heart. 2012; 7:183-7. Medicine and Public Health. 2012; 1:49- smoking patterns, their health effects and 56. policy options. Global Heart. 2012; 7:175- 71. Laxminarayan, R. A matter of life and death: 8. the economics of antibiotic resistance. 78. Madhu, R, Jain, N. Yoga camp in The Milken Institute Review. 2012; 3rd ayurvedgrams of Chhattisgarh. J Ayurveda 65. Kumar, GA, Dilip, TR, Dandona, L, Quarter:13-21. Integr Med. 2012; 3:63-4. Dandona, R. Burden of out-of-pocket expenditure for road traffic injuries in urban 72. Laxminarayan, R, Arrow, K, Jamison, D, 79. Madhu, R, Neu, DM. Framing child nutrition India. BMC Health Serv Res. 2012; 12:285. Bloom, BR. Public Health. From financing in developing countries: a human security to fevers: lessons of an antimalarial subsidy perspective. Global Health Governance- 66. Lakra, GJ, Kadam, S, Hussain, MA, Pati, program. Science. 2012; 338:615-6. Fall. 2012; 6:1-17. S, Sharma, K, Zodpey, SP. Motivation and job satisfaction among multipurpose health 73. Lee, IM, Shiroma, EJ, Lobelo, F, Puska, P, 80. Malhotra, S, Zodpey, SP, Chandra, S, workers in hilly and non-hilly areas of Blair, SN, Katzmarzyk, PT, Collaborators Vashist, RP, Satyanaryana, S, Zachariah, Jashpur District, Chhattisgarh: an exploratory from India: Goenka, S, for the Lancet R, Harries, AD. Should sputum smear

139 examination be carried out at the end of Chatterjee, N, Chanock, SJ, Berndt, SI, information. Nat J Res Com Med. 2012; the intensive phase and end of treatment Mathew, A, Prabhakaran, D, Sinha, R. 1:178-241. in sputum smear negative pulmonary TB Common genetic variants and central 93. Murali Prasad, MR, Reddy, SHK. An analysis patients? PLoS One. 2012; 7:e49238. adiposity among Asian-Indians. Obesity of research in mental retardation in India. (Silver Spring). 2012; 20:1902-8. 81. Mathur, MR, Chaman, P, Bose, V. Indian Association of Special Libraries and E-networks for improving public health 88. Moran, AE, Oliver, JT, Mirzaie, M, Infomation Centres Bulletin. 2012; 57:89- education and practice in low and middle Forouzanfar, MH, Chilov, M, Anderson, L, 101. income countries: Introduction public health Morrison, JL, Khan, A, Zhang, N, Haynes, 94. Nair, M, Ariana, P, Webster, P. What global network. Global Journal of Medicine N, Tran, J, Murphy, A, DeGennaro, V, Roth, influences the decision to undergo and Public Health. 2012; 1:56-8. G, Zhao, D, Peer, N, Pichon-Riviere, A, institutional delivery by skilled birth 82. Mathur, MR, Prabhakaran, D. Tobacco and Rubinstein, A, Pogosova, N, Prabhakaran, attendants? A cohort study in rural Andhra CVD: A historical perspective. Global Heart. D, Naghavi, M, Ezzati, M, Mensah, GA. Pradesh, India. Rural Remote Health. 2012; 2012; 7:107-11. Assessing the global burden of Ischemic 12:2311. heart disease: Part 1: Methods for a 83. Mathur, N, Basu, A, Arora, M, Reddy, KS. systematic review of the global epidemiology 95. Nair, M, Ohuma, E, Ariana, P, Webster, Abstract P718: Building tobacco control of Ischemic heart disease in 1990 and 2010. P, Gray, R. Effect of the Mahatma Gandhi capacity in India through short-term and Global Heart. 2012; 7:315-29. National Rural Employment Guarantee Act long-term E-learning distance education on malnutrition of children aged between 1 programmes. Circulation. 2012; 125:e899. 89. Mukhopadhyay, I. Health system and 12 months in Rajasthan, India: a mixed strengthening and the importance of public methods study. Lancet. 2012; 380:S9. 84. Mendenhall, E, Shivashankar, R, Tandon, N, investment: a study of National Rural Health Ali, MK, Venkat Narayan, KM, Prabhakaran, Mission in Bihar. BMC Proc. 2012; 6:O11. 96. Nair, M, Prabhakaran, D. Why do South D. Stress and diabetes in socioeconomic Asians have high risk for CAD? Global Heart. context: a qualitative study of urban Indians. 90. Munafo, MR, Timofeeva, MN, Morris, RW, 2012; 7:307-14. Soc Sci Med. 2012; 75:2522-9. Prieto-Merino, D, Sattar, N, Brennan, P, 97. Nair, M, Webster, P. Health professionals’ 85. Modugu, HR, Kumar, M, Kumar, A, Millett, Johnstone, EC, Relton, C, Johnson, PC, migration in emerging market economies: C. State and socio-demographic group Walther, D, Whincup, PH, Casas, JP, Uhl, patterns, causes and possible solutions. J variation in out-of-pocket expenditure, GR, Vineis, P, Padmanabhan, S, Jefferis, BJ, Public Health (Oxf). 2012; 35:157-63. borrowings and Janani Suraksha Yojana (JSY) Amuzu, A, Riboli, E, Upton, MN, Aveyard, P, programme use for birth deliveries in India. Ebrahim, S, Hingorani, AD, Watt, G, Palmer, 98. Nakkeeran, N. Unregulated private health BMC Public Health. 2012; 12:1048. TM, Timpson, NJ, Group, ES, Davey Smith, care in India: The case of a Kolkata hospital G. Association between genetic variants on fire. Indian J Public Health. 2012; 56:246- 86. Mohanty, A, Chakravarty, N. An chromosome 15q25 locus and objective 7. epidemiological study of common drugs in measures of tobacco exposure. J Natl the health supply chain: Where does the Cancer Inst. 2012; 104:740-8. 99. Nakkeeran, N. Poor Methodology. Econ compass point? Journal of Humanitarian Polit Wkly. 2012; 47. Logistics and Supply Chain Management. 91. Murali Prasad, MR. Quick response 2012:1-16. (QR) code to promote library services: an introduction. Journal of Library and 100. Nambiar, D. A comparison of data sources and models to project HRH needs in India: 87. Moore, SC, Gunter, MJ, Daniel, CR, Information Science. 2012; 37:1-9. lessons from the universal health coverage Reddy, KS, George, PS, Yurgalevitch, S, 92. Murali Prasad, MR, Kumar, VB. Specialty planning process. BMC Proc. 2012; 6:P11. Devasenapathy, N, Ramakrishnan, L, medical blogs: a tool to disseminate health

140 101. Nambiar, D, Saligram, P, Sheikh, K. Does preparedness for tobacco control: situational 116. Ramakrishnan, U, Lowe, A, Vir, S, Kumar, ‘giving’ influence governance? Application analysis of existing health programs in S, Mohanraj, R, Chaturvedi, A, Noznesky, of a framework describing the role of private Andhra Pradesh, India. Asian Pac J Cancer EA, Martorell, R, Mason, JB. Public health philanthropy in Indian national health Prev. 2012; 13:5969-73. interventions, barriers, and opportunities for priority setting. BMC Proc. 2012; 6:P5. improving maternal nutrition in India. Food 109. Pandey, A, Hasan, H, Sharma, K, Zodpey, Nutr Bull. 2012; 33:S71-92. S. Emerging need for health policy teaching 102. Nambiar, D, Sheikh, K, Verma, N. Scale-up in India. Indian J Public Health. 2012; Raman, V, Sheikh, K, Saligram, P, Verma, of community action for health: lessons from 117. 56:210-3. a realistic evaluation of the Mitanin program N, Sharma, N. Governance ‘tool kits’ for universal health coverage in India: guidelines in Chhattisgarh, India. BMC Proc. 2012; 110. Pati, S. Integration of behavioral health for implementing the Expert Group’s 6:O26. services into primary care practice: a needs recommendations. BMC Proc. 2012; 6:O8. assessment study in urban Bhubaneswar, 103. Nanchahal, K, Power, T, Holdsworth, E, Odisha, India. Int J Behav Med. 2012; 118. Rani, MA, Shriraam, V, Zachariah, R, Harries, Hession, M, Sorhaindo, A, Griffiths, U, 19:S147. AD, Satyanarayana, S, Tetali, S, Anchala, R, Townsend, J, Thorogood, N, Haslam, D, 111. Pati, S. Energizing Nutrition Education in Muthukumar, D, Sathiyasekaran, BWC. Does Kessel, A, Ebrahim, S, Kenward, M, Haines, Medical Curriculum. The Journal of SCB a nutrition education programme change A. A pragmatic randomised controlled trial Medical College. 2012; 27:125-8. the knowledge and practice of healthy in primary care of the Camden Weight Loss diets among high school adolescents in (CAMWEL) programme. BMJ Open. 2012; 112. Pati, S, Chauhan, AS. Health Promotion: Chennai, India? Health Education Journal. 2:e000793. An integral discipline of public health. South 2012:[Epub ahead of print]. East Asia Journal of Public Health. 2012; 104. Narayanan, G, Prabhakaran, D. Integrating 2:3-7. 119. Rao, KD. How to attract health workers to mental health into cardiovascular disease rural areas? Findings from a discrete choice research in India. Natl Med J India. 2012; 113. Prabhakaran, D, Jeemon, P. Should your experiment in India. BMC Proc. 2012; 6:O1. 25:274-80. family history of coronary heart disease scare you? Mt Sinai J Med. 2012; 79:721-32. 120. Rao, KD, Bhatnagar, A, Berman, P. So many, 105. Narula, J, Prabhakaran, D. Tobacco and yet few: Human resources for health in CVD. Global Heart. 2012; 7:i-ii. 114. Pratt, M, Sarmiento, OL, Montes, F, Ogilvie, India. Hum Resour Health. 2012; 10:19. D, Marcus, BH, Perez, LG, Brownson, RC, 106. Nazar, GP, Arora, M, Gupta, VK, Singh, Collaborators from India: Goenka, S, for 121. Reddy, H, Pradhan, MR, Ghosh, R, Khan, D, Sargent, JD. Abstract P183: Exposure the Lancet Physical Activity Series Working AG. India’s progress towards the Millennium to alcohol in Bollywood movies and its Group. The implications of megatrends in Development Goals 4 and 5 on infant and impact on alcohol use among urban information and communication technology maternal mortality. WHO South-East Asia indian adolescents. Circulation. 2012; and transportation for changes in global Journal of Public Health. 2012; 1:279-89. 125:e703-e4. physical activity. Lancet. 2012; 380:282-93. 107. Panda, B, Rout, A, Pati, S, Chauhan, AS, 122. Reddy, KS, for the GHME conference 115. Rafiq, S, Venkata, KK, Gupta, V, Guru, VD, organising committee. Global health metrics Tripathy, A, Shrivastava, R, Bassi, A. Tobacco Spurgeon, CJ, Parameshwaran, S, Madana, control law enforcement and compliance and evaluation: a call for abstracts. Lancet. SN, Kinra, S, Bowen, L, Timpson, NJ, 2012; 380:1722. in Odisha, India - implications for tobacco Smith, GD, Dudbridge, F, Prabhakaran, control policy and practice. Asian Pac J D, Ben-Shlomo, Y, Reddy, KS, Ebrahim, S, Cancer Prev. 2012; 13:4631-7. 123. Sadhu, G, Chakravarty, N. Gender Chandak, GR. Evaluation of seven common mainstreaming in water management. 108. Panda, R, Mathur, MR, Divya, P, Srivastava, lipid associated loci in a large Indian sib pair International Journal of Scientific and S, Ramachandra, SS. Health system study. Lipids Health Dis. 2012; 11:155. Research Publications. 2012; 2:1-9. 141 124. Sahu, B, Hutter, I. ‘Lived Islam’ in India and 132. Selvaraj, S, Subramanian , SV. Financial risk 140. Shrivastav, R, Nazar, GP, Stigler, MH, Bangladesh: negotiating religion to realise protection & chronic disease care. Indian J Arora, M. Health promotion for primordial reproductive aspirations. Cult Health Sex. Med Res. 2012; 136:544-6. prevention of tobacco use. Global Heart. 2012; 14:521-35. 2012; 7:143-50. 133. Seshadri, T, Trivedi, M, Saxena, DB, Soors, W, Criel, B, Devadasan, N. Impact of RSBY 141. Shukla, A, Philip, A, Zachariah, A, Phadke, 125. Salahuddin, S, Prabhakaran, D, Roy, A. on enrolled households: lessons from A, Suneetha, A, Davar, B, Srinivasan, C, Pathophysiological mechanisms of tobacco- Gujarat. BMC Proc. 2012; 6:O9. Mankad, D, Qadeer, I, Kalathil, J, Lalita, K, related CVD. Global Heart. 2012; 7:113-20. Sajaya, K, Jacob, K, Balimahabal, K, Gupte, 134. Sheikh, K. Analyzing power in health M, Rao, M, Salie, M, Prakash, P, Chatterjee, 126. Sarkar, BK. Re: Gutkha wars: India toughens systems: the case of medical dominance in P, Baru, R, Melkote, R, Shukla, R, Gaitonde, up on oral tobacco use. BMJ. 2012; India. BMC Proc. 2012; 6:O6. R, Bisht, R, Duggal, R, Khanna, R, Priya, 345:e8238. 135. Sheikh, K, Raman, V, Mayra, K. Nurturing R, Srivatsan, R, Timimi, S, Sarojini, N, 127. Sarkar, BK. Re: More health professionals for nursing in India: need for governance Sathyamala, C, Ashtekar, S, Fernando, S, rural India. BMJ. 2012; 345:e8339. reform. BMC Proc. 2012; 6:O32. Tharu, S, Shatrugna, V. Critical perspectives on the NIMH initiative “Grand Challenges to 136. Sheppard, AJ, Salmon, C, 128. Sathyanarayana, TN, Babu, GR, Kadam, S. Global Mental Health”. Indian J Med Ethics. Balasubramaniam, P, Parsons, J, Singh, G, 2012; 9:289-94. Barriers, challenges and possible solutions Jabbar, A, Zaidi, Q, Scott, A, Nisenbaum, R, in establishing diabetes self-management Dunn, J, Ramsay, J, Haque, N, O’Campo, 142. Sidney, K, de Costa, A, Diwan, V, education (DSME) in India: a policy P. Are residents of downtown Toronto Mavalankar, DV, Smith, H, Matind study perspective. International Journal of User- influenced by their urban neighbourhoods? team. An evaluation of two large scale Driven Healthcare 2012; 2. Using concept mapping to examine demand side financing programs for 129. Saxena, DB, Kumar, P, Rana, M, Shah, HM. neighbourhood characteristics and their maternal health in India: the MATIND A case study on use of modified delphi perceived impact on self-rated mental well- study protocol. BMC Public Health. 2012; technique for developing consensus on being. Int J Health Geogr. 2012; 11:31. 12:699. designing contents of a module for imparting 137. Shidhaye, P, Giri, P, Nagaonkar, S, Shidhaye, 143. Singh, A, Zodpey, SP, Gaidhane, AM, sex education to adolescents in schools, RR. Study of knowledge and attitude Zahiruddin, QS. Strengthening health in India. Global Journal of Medicine and regarding Prenatal Diagnostic Techniques Act systems to address child health. Int J Child Public Health. 2012; 1:3-7. among the pregnant women at a tertiary care Health Hum Dev. 2012; 5:283-8. teaching hospital in Mumbai. J Edu Health 130. Schneider, J, Kumar, R, Dandona, R, Kumar, 144. Singh, R, Zodpey, SP, Sharma, K, Promot. 2012; 1:36. P, Kumar, A, Lakshmi, V, Laumann, E, Mayer, Bangdiwala, SI, Ughade, S. Landscaping K, Dandona, L. Social network and risk- 138. Shidhaye, P, Giri, P, Nagaonkar, S, Shidhaye, biostatistics education in India. Indian J taking behavior most associated with rapid RR. Prevalence of anemia in the postnatal Public Health. 2012; 56:273-80. HIV testing, circumcision, and preexposure women at a tertiary care teaching hospital 145. Somsekhar, H, Prabhakaran, D, Tandon, prophylaxis acceptability among high-risk in Mumbai. J Med Nutr Nutraceut 2012; N, Rousselle, R, Fisher, S, Stein, AD. Review Indian men. AIDS Patient Care STDS. 2012; 1:54-7. 26:631-40. of multinational human subjects research: 139. Shidhaye, P, Shidhaye, RR. Statistical experience from the PHFI-Emory Center of 131. Selvaraj, S, Hasan, H. Draft drug price methods: Regression analysis in mental Excellence partnership. Indian J Med Ethics. policy 2011: Legitimising unaffordable health research: concept and interpretation. 2012; 9:255-8. medicine prices? Econ Polit Wkly. 2012; Archives of Indian Psychiatry.2012; 14:51-9. 47:13-7.

142 146. Sovio, U, Giambartolomei, C, Kinra, S, PLoS One. 2012; 7:e51042. among motorcyclists in India. Inj Prev. 2012; Bowen, L, Dudbridge, F, Nitsch, D, Smith, 18:A197. 149. Taylor, F, Ebrahim, S. Statins work just as GD, Ebrahim, S, Ben-Shlomo, Y. Early well in women as in men. Arch Intern Med. 154. Yadav, A, Chatterjee, M. India: Point of and current socio-economic position and 2012; 172:919-20. sale graphic warnings. Tob Control. 2012; cardiometabolic risk factors in the Indian 21:458. Migration Study. Eur J Prev Cardiol. 150. Tetali, S, Josyula, L, K., Gupta, S, 2012:[Epub ahead of print]. Gopalakrishna, G. Collecting Road Traffic 155. Yadav, A, Yadav, L. India: Laying the Injury (RTI) data: barriers and enablers groundwork for plain packaging. Tob 147. Sreeramareddy, CT, Sathyanarayana, experienced by research personnel. Inj Prev. Control. 2012; 21:524. TN, Kumar, HNH. Utilization of health 2012; 18:A242. care services for childhood morbidity and 156. Zodpey, SP, for IPEN Study Group. Injection associated factors in India: a national cross- 151. Tiwari, RR, Sharma, K, Zodpey, SP. practice in India. WHO South-East Asia sectional household survey. PLoS One. Situational analysis of nursing education and Journal of Public Health. 2012; 1:189-200. 2012; 7:e51904. work force in India. Nurs Outlook. 2012; 157. Zodpey, SP, for The INCLEN Program 61:129-36. 148. Taylor, AE, Kuper, H, Varma, RD, Wells, Evaluation Network (IPEN). Interdistrict JC, Bell, JD, Radhakrishna, KV, Kulkarni, B, 152. Trivedi, M, Gupta, I. HIV insurability in variations in child health status and health Kinra, S, Timpson, NJ, Ebrahim, S, Smith, India: early history and current status. J services utilization: Lessons for health sector GD, Ben-Shlomo, Y. Validation of dual Health Manag. 2012; 14:435-50. priority setting and planning from a cross- energy x-ray absorptiometry measures of sectional survey in rural India. Natl Med J 153. Wadhwaniya, S, Gupta, S, Tetali, S, Hyder, abdominal fat by comparison with magnetic India. 2012; 25:S1-3. resonance imaging in an Indian population. A. The validity of self-reported helmet-use Conference Presentation Jan – Aug 2013

1. Abbas, K, Abbas, SS, Rekha, VB, Elvinger, F, 3. Abbas, SS, Kakkar, M. Rabies control Nepal (OHAN) Coordination Office; 2013, Gunaseelan, Kakkar, M. Education, research initiative in Tamil Nadu, India: A test case 17th-19th January; Kathmandu, Nepal. & practice of “One Health”. In: International for the “One Health” approach. In: A World 5. Abbas, SS, Kakkar, M, Rogawski, E. Cost Conference on Frontiers of Stem Cell and United Against Infectious Diseases: Cross estimation of a state wide rabies control. Biotechnology in Human and Veterinary Sectoral Solutions; 2013, 28th January-2nd In: 3rd National Conference of Consortium Medicine; 2013, 11th January; Chennai, February; Bangkok, Thailand. Against Rabies (CARCON); 2013, 20th April; India. 4. Abbas, SS, Kakkar, M. Identifying research New Delhi, India. 2. Abbas, SS, Kakkar, M. Policy formulation priorities for zoonoses in India. Feasibility 6. Abbas, SS, Kakkar, M, Sohal, S. Costing processes for disease surveillance in India. of One Health (OH) initiative in Nepal rabies control initiative in Tamil Nadu. In: In: 3rd Annual Public Health Foundation of for surveillance of emerging and re- 3rd Annual Public Health Foundation of India Research Symposium; 2013, 07th-08th emerging zoonotic diseases of public health India Research Symposium; 2013, 07th-08th January; New Delhi, India. importance. In: One Health Alliance of January; New Delhi, India. 143 7. Abbas, SS, Kakkar, M, Sohal, S. Management into Climate Compatible Health Conference; 2013, 15th-17th Parliamentary questions related to disease Development; 2013, 19th-21st June; January; Tanzania, Africa. surveillance in India. In: 3rd Annual Public Bangkok, Thailand. 21. Bhattacharyya, SK. Trading off cleanliness: Health Foundation of India Research 14. Azhar, GS. Climate change, heat and health: Women’s priorities at delivery in Jharkhand, Symposium; 2013, 07th-08th January; New protecting local communities from extreme India. In: Global Maternal Health Delhi, India. heat in rapidly urbanising regions of western Conference; 2013, 15th-17th January; 8. Abbas, SS, Kakkar, M, Venkataramanan, India In: Subnational CCD: Learning from Tanzania, Africa. V. Research-policy disconnect in zoonoses. CDKN’s experience, Learning Workshop; 22. Borhade, A, Singh, A. Migrants access to In: 3rd Annual Public Health Foundation of 2013, 03rd-04th June; Bonn, Germany. health care. In: 3rd Annual Public Health India Research Symposium; 2013, 07th-08th 15. Babu, GR. Keynote address: Public health Foundation of India Research Symposium; January; New Delhi, India. and social work in international settings. In: 2013, 07th-08th January; New Delhi, India. 9. Abbas, SS, Kakkar, M, Venkataramanan, International Conference on Global Public 23. Chatterjee, S. Costing study: Data V. Research-policy disconnect for rabies Health and Social work-DYUTI; 2013, 03rd- collection and analysis: tools, templates and control in India. In: 3rd National Conference 05th January; Kochi, India. techniques. In: 2nd Joint Learning Network of Consortium Against Rabies (CARCON); 16. Babu, GR. Social determinants of health, Costing Collaborative Group Meeting; 2013, 2013, 20th April; New Delhi, India. right to health & health equity. In: 25th-27th February; Jakarta, Indonesia. 10. Agrawal, S. Association between food International Conference on Global Public 24. Chatterjee, S, Laxminarayan, R. Unit cost consumption and diabetes among adult Health and Social work-DYUTI; 2013, 03rd- of hospital services at different hospitals in Indians: A cross sectional study. In: 8th Asia 05th January; Kochi, India. India. In: International Health Economics Pacific Conference on Clinical Nutrition 17. Babu, GR, Mahapatra, T, Detels, R. Job Association (iHEA) conference on (APCCN); 2013, 09th-12th June; Tokyo, stress and hypertension in young software Celebrating Health Economics; 2013, 07th- Japan. professionals. In: South-East Asia Regional 10th July; Sydney, Australia. 11. Agrawal, S, Millett, C, Subramanian, SV, Public Health Conference (IPHACON); 25. Chatterjee, S, Laxminarayan, R. Unit cost Ebrahim, S. Type of vegetarian diet and 2013, 01st-03rd February; Kolkata, India. of hospital services at different hospitals in prevalence of diabetes in adult men and 18. Babu, GR, Mahapatra, T, Detels, R. Sexual India. In: Health Economics Association of women in India. In: IUNS 20th International behaviour and association with occupational India (HEAI) conference on Strengthening Congress of Nutrition; 2013, 15th-20th stress among software professionals of Health Systems in India: What Works and September; Granada, Spain. Bengaluru, India. In: South-East Asia What Lies Ahead; 2013, 29th- 31st May; 12. Azhar, GS. Climate change and health Regional Public Health Conference Chennai, India. preparedness: Protecting local communities (IPHACON); 2013, 01st-03rd February; 26. Chatterjee, S, Laxminarayan, R. Unit cost from extreme heat. In: 3rd Annual Public Kolkata, India. of medical services at different hospitals Health Foundation of India Research 19. Bhattacharya, A, Lyngdoh, W. Discussing in India. In: 3rd Annual Public Health Symposium; 2013, 07th-08th January; New social cultural dimension of teenage Foundation of India Research Symposium; Delhi, India. pregnancy in Meghalaya, India. In: Global 2013, 07th-08th January; New Delhi, India. 13. Azhar, GS. Climate change, heat and health: Maternal Health Conference; 2013, 15th- 27. Dey, S, Dhillon, PK, Wardle, J, Santos, D, protecting local communities from extreme 17th January; Tanzania, Africa. Silva, I. Breast cancer awareness: Evaluation heat in rapidly urbanising regions of western 20. Bhattacharyya, SK. Closing the cycle: of a campaign and planning further India In: DRM Learning and Innovation Evidence to action. In: Global Maternal dissemination. In: 3rd Annual Public Health Hub Asia: Mainstreaming Disaster Risk

144 Foundation of India Research Symposium; Congress of Nutrition; 2013, 15th-20th in India; Overcoming the obstacles for 2013, 07th-08th January; New Delhi, India. September; Granada, Spain. improved health care decision making in India. In: 10th Annual Conference of Health 28. Dhillon, PK, Dey, S, Magsumbol, M. 34. Jotheeswaran, AT. Prevention and Technology Assessment International (HTAi); Occupational exposure to pesticides and management of dependency among frail 2013, 17th-19th June Seoul, South Korea. breast cancer. In: 3rd Annual Public Health older people within primary health care in Foundation of India Research Symposium; India: Challenges and Opportunities. In: 41. Mohan, S. Hypertension and related 2013, 07th-08th January; New Delhi, India. World Health Organization (WHO) high comorbidities in India: Implications for the level meeting; 2013, 25th-26th April; The health system. In: A National Brief on High 29. Downs, S, Gupta, V, Ghosh-Jerath, S, Hague, Netherlands. Blood Pressure prepared for the World Lock, K, Singh, A. Reformulating partially Health Day; 2013, 07th April; New Delhi, hydrogenated vegetable oils to maximize 35. Kakkar, M, Abbas, SS, Rogawski, E. India. health gains in India: An industry Research-policy disconnect for rabies control perspective. In: IUNS 20th International in India. In: National Symposium on Recent 42. Neogi, SB, Devasenapathy, N, Singh, Congress of Nutrition; 2013, 15th-20th Advances in Rabies; 2013, 25th March; R, Ray, S. Ferrous Sucrose in Pregnant September; Granada, Spain. Bengaluru, Karnataka. Anaemic Women in India (FeSPAW) – An observational study in government 30. Downs, S, Thow, AM, Ghosh-Jerath, S, 36. Kamboj, P, Chadha, R, Ghosh-Jerath, healthcare facilities in Tamil Nadu and Leeder, S. The feasibility of multisectoral S. Nutritional status, severity of sensory Uttar Pradesh. In: 3rd Annual Public Health policies aimed at reducing trans fat in India. sensitivities and feeding problems in children Foundation of India Research Symposium; In: IUNS 20th International Congress of (3-10 years) with pervasive developmental 2013, 07th-08th January; New Delhi, India. Nutrition; 2013, 15th-20th September; disorders. In: IUNS 20th International 43. Panda, R. Factors affecting tobacco use and Granada, Spain. Congress of Nutrition; 2013, 15th-20th September; Granada, Spain. quitting in India. In: Society for Nicotine and 31. Gera, R, Sharma, A, Singh, P. Tracking every Tobacco Research; 2013, 13th-16th March; mother and child to improve the routine 37. Khandelwal, S. Program and policy options Boston, United States of America. immunization through Mother and Child for preventing obesity in the low, middle, 44. Panda, R. Factors influencing severity Tracking System (MCTS). In: 3rd Annual and transitional income countries. In: of nicotine dependence among the bidi Public Health Foundation of India Research High Level Meeting for International Policy smokers in India. In: Society for Nicotine Symposium; 2013, 07th-08th January; New Discussion 2013, 16th-21st June; Bellagio, and Tobacco Research; 2013, 13th-16th Delhi, India. Italy. March; Boston, United States of America. 38. Khandelwal, S. Emory experience and 32. Ghosh-Jerath, S, Devasenapathy, N, Singh, 45. Panda, R, Jena, PK. Discordance in the future prospects of the training received. In: A, Zodpey, SP. Nutritional vulnerability of assessment of nicotine dependence of adult CoE- CARRS Research Symposium; 2013, under-5 children in urban poor settlements smokers in India: A comparison of DSM- 08th-09th February; New Delhi, India. of Delhi, India: need for aligning policy to IV and FTND. In: Society for Nicotine and food consumption pattern. In: IUNS 20th 39. Kumar, M, Chokshi, M, Banta, D, Gabby, Tobacco Research; 2013, 13th-16th March; International Congress of Nutrition; 2013, J. A proposed framework for integration of Boston, United States of America. 15th-20th September; Granada, Spain. health technology assessment in policy in 46. Ramanan, L. Social security: Fixing the India. In: 10th Annual Conference of Health 33. Ghosh-Jerath, S, Singh, A, Magsumbol, glaring gap for employees of semi-organized Technology Assessment International (HTAi); M, Kamboj, P, Goldberg, G. Indigenous and sector. In: Tomorrow People Organization’s 2013, 17th-19th June; Seoul, South Korea. tribal foods for addressing food and nutrition Sixth Annual Poverty Alleviation and Social security in two tribal communities of 40. Kumar, M, Taylor, F, Chokshi, M, Shah, E, Protection Conference - PSPC 2013; 2013, Jharkhand, India. In: IUNS 20th International Gabby, J. Health technology assessment 09th-11th March; Bangkok, Thailand.

145 47. Saha, S, Annear, P, Pathak, S. The effect of 17th-19th June; Seatle, United States of with emphasis on fat intake trends in a rural self help groups on access to maternal health America. setting in Haryana, India. In: IUNS 20th services: evidence from rural India. In: 2nd International Congress of Nutrition; 2013, 50. Sharma, A. Mother and child tracking system Global Maternal Health Conference; 2013, 15th-20th September; Granada, Spain. assessment in three states In: 3rd Annual 15th-17th January; Dodoma, Tanzania. Public Health Foundation of India Research 53. Srivastava, A. Assessing what women want: 48. Saha, S, Nachtnebel, M, Annear, P. Symposium; 2013, 07th-08th January; New Systematic review of maternal satisfaction Participation in social networks as a Delhi, India. with delivery care in developing countries. determinant for health: Evidence from India. In: Global Maternal Health Conference; 51. Sharma, L, Singh, P, Gera, R. Route In: World Health Summit Regional Meeting- 2013, 15th-17th January; Tanzania, Africa. planning & route optimization for vaccine Asia; 2013, 08th-10th April; Singapore. supply chain management through geospatial 54. Srivastava, A. Incorporating maternal 49. Saxena, D, Nakkeeran, S, Vangani, R, technology. In: 5th International Health satisfaction in assessments of maternal Mavalankar, DV. Trends in institutional GIS Conference 2013, 21st -23rd August; health services: Evidence from developing deliveries among disadvantaged groups Bangkok, Thailand. countries. In: Global Maternal Health and the impact of intervention in Gujarat: Conference; 2013, 15th-17th January; 52. Singh, A, Gupta, V, Lock, K, Ghosh-Jerath, evidence from secondary data analysis In: Tanzania, Africa. S. Exploratory assessment of dietary practices Global Health Metrics & Evaluation; 2013, Aug – Dec 2012

1. Abbas, SS, Kakkar, M. Assessing disease disabilities in a rural setting. In: 18th 8. Arora, M. Confronting tobacco use around surveillance capacity in India. In: 2nd Global International Congress of Rural Health and the world: the search for sustainable Symposium on Health Systems Research; Medicine; 2012, 10th-12th December; Goa, approaches. In: The World Congress of 2012, 31st October-03rd November; India. Cardiology Scientific Sessions; 2012; Dubai, Beijing, People’s Republic of China. United Arab Emirates. 5. Arora, M. Tobacco control at multiple 2. Abbas, SS, Kakkar, M. Rabies : Exploring settings: Tobacco free schools and 9. Azhar, GS. Change and health preparedness intersections between animal welfare and communities. In: 43rd Union World in India: Protecting local communities in public health. In: The India for Animals (IFA) Conference on Lung Health; 2012, 13th- Ahmedabad from extreme heat. In: 3rd Conference; 2012, 16th -18th November; 17th November; Kuala Lumpur, Malaysia. National Research Conference on Climate Panjim, Goa. Change, Indian Institute of Science; 2012, 6. Arora, M. Preventing and controlling 03rd-04th November; Bengaluru, India. 3. Abbas, SS, Venkataramanan, V, Kakkar, youth access to tobacco use: Introducing M. Moving from rabies research to rabies the IMPACT model from India. In: 10. Babu, GR. Analysis of universal health control: Lessons from India. In: 2nd Global Innovative Approaches to Tobacco Control: coverage and pointers for future. In: 24th Symposium on Health Systems Research; International Conference; 2012, 10th-11th Annual Conference of Karnataka Association 2012, 31st October-03rd November; October; Cardiff, United Kingdom. of Community Health Professionals; 2012, Beijing, People’s Republic of China. 03rd November; Bagalkote, India. 7. Arora, M. Overnutrition in developing and 4. Abraham, S, Pradhan, MR, Dias, A, Jha, middle-income countries. In: The World 11. Balasubramaniam, P. Regulation, D, Dhillon, PK, Ebrahim, S. The status of Congress of Cardiology Scientific Sessions; governance and institutional arrangements depression in persons with and without 2012; Dubai, United Arab Emirates. for universal health coverage: where we

146 are at and the way forward (comparing S. Methods and preliminary findings. In: 10th 23. Gupta, R, Lakshmy, R, Abraham, RA, Africa, Thailand, Brazil and India, China, Conference of Indian Association for Social Jeemon, P, Prabhakaran, D, Reddy, KS. and Ghana). In: 2nd Gobal Symbosium Sciences and Health (IASSH); 2012, 21st- Serum omega-6/omega-3 ratio and risk on Health Systems Research; 2012, 31st 23rd November; New Delhi, India. markers for cardiovascular disease. In: October-03rd November; Beijing, People’s Annual National Conference of Association 18. Dhillon, PK, Hasan, K, Islam, S, Islam, S, Jha, Republic of China. of Clinical Biochemists of India; 2012, 12th- D, Davey-Smith, G, Alam, D, Ebrahim, S. 14th December; Ranchi, India. 12. Balasubramaniam, P. Universal health Incidence of childhood diarrhea and blood coverage and the changed environment for pressure in later life: Matlab, Bangladesh. 24. Josyula, L, Sheikh, K, Sathyanarayana, T, health policy and implementation in LMIC’s: In: International Conference on Global Nambiar, D, Narayan, V, Porter, J. Engaging A retrospective from bi/multi-laterals, donors Public Health; 2012, 03rd-04th December; traditional, complementary and alternative & institutions. In: 2nd Global Symposium Colombo, Sri Lanka. health providers for essential health service delivery in India: A policy analysis. In: 2nd on Health Systems Research; 2012, 31st 19. Dhillon, PK, Jha, D, Alam, D, Dias, A, National Conference on Bringing Evidence October-03rd November; Beijing, People’s Williams, J, Ebrahim, S. Multi-centre, into Public Health Policy; 2012, 05th-06th Republic of China. household chronic disease risk factor (CDRF) October; Bengaluru, India. study in rural Bangladesh, Goa and Tamil 13. Chakravarty, N, Harmer, A. Social Nadu: Methods and preliminary findings. In: 25. Kadam, S, Pati, S, Hussain, MA, Nallala, determinats affecting the implementation International Association for Social Sciences S, Chakravarty, N, Panda, B, Sahu, B, of ICDS programme in Maharashtra, India. Research; 2012, 21st-23rd November; New Chauhan, AS, Ray, S, Swain, S. Assessment In: International Conference on Public Delhi, India. of factors influencing retention of health Policy and Governance; 2012, 04th-06th workforce in rural and remote areas of 20. Dias, A, Dhillon, PK, Jha, D, Abraham, S, September; Bengaluru, India. Odisha, India. In: 2nd National Conference Ebrahim, S. Diagnostic and treatment gaps on Bringing Evidence into Public Health 14. Chatterjee, S. Unit cost of hospital services for major chronic diseases in rural Goa. In: Policy; 2012, 05th-06th October; Bengaluru, at different hospitals in India. In: Indian 18th International Congress of Rural Health India. Health Economics and Policy Association and Medicine; 2012, 10th-12th December; (IHEPA) second conference on ‘Better health Goa, India. 26. Kakkar, M. India and emerging infectious access: the rough road ahead’; 2012, 20th- diseases challenges. In: The Wildlife Health 21. Downs, SM, Thow, AM, Ghosh-Jerath, 21st December; Bengaluru, India. Bridge Wildlife Health Management for S, Leeder, SR. Policies influencing the Rural Livelihood Security & Biodiversity 15. Chatterjee, S. Cost-effectiveness of availability, price and marketing of trans Conservation, South Asia under the vaccination programs in India. In: Gynuity’s fat in India: A food systems approach. In: Darwin Initiative Project; 2012, 11th-12th Technical Advisory Group; 2012, 16th Population Health Congress; 2012, 09th- December; Dehradun, India. November; New Delhi, India. 12th September Adelaide, Australia. 27. Kakkar, M. Communication between 16. Chatterjee, S. Costing study experience in 22. Ganguly, P, Jehan, K, Sidney, K, Mavalankar, laboratory personnel and the outbreak India. In: Regional Experiences on Costing DV, Costa, Ad, Smith, H. Exploration investigating team. In: CME on Clinical Health Care Services; 2012, 03rd-05th of factors influencing private sector Microbiology and Public Health at 36th October; Kuala Lumpur, Malaysia. participation in Chiranjeevi Yojana in National Conference of the Indian Gujarat, India. In: 2nd Global Symposium 17. Dhillon, PK, Dias, A, Williams, J, Alam, D, Association of Medical Microbiologists on on Health Systems Research; 2012, 31st Jha, D, Ebrahim, S. Multi-centre, household “Clinical Microbiology: Current Challenges October-03rd November; Beijing, People’s chronic disease risk factor (CDRF) study & Future Directions”; 2012, 22nd-25th Republic of China. in rural Bangladesh, Goa and Tamil Nadu: November; New Delhi; India.

147 28. Kakkar, M, Abbas, SS. Research– policy 34. Lakshmi, JK. Healthcare provider physical 40. Nambiar, D. A comparison of data sources disconnect in zoonoses prevention and activity prescription intervention at health and models to project HRH needs in control in India. In: International Symposium promotion research. In: An International India: Lessons from the universal health on One Health: Way Forward to Challenges Forum State of the Art - Direction for the coverage planning process. In: 2nd National in Food Safety and Zoonoses in 21st future Conference; 2012, 06th-09th August; Conference on Bringing Evidence into Public Century and XI Annual Conference of Indian Trondheim, Norway. Health Policy; 2012, 05th-06th October; Association of Veterinary Public Health Bengaluru, India. 35. Lakshmi, JK, Tetali, S. Participating in an Specialists (IAVPHS); 2012, 13th December; institutional ethics committee: Perceptions, 41. Nambiar, D, Saligram, P, Sheikh, K. Does Ludhiana, India. practices, and potential. In: Advancing ‘giving’ influence governance? Application 29. Kakkar, M, Venkataramanan, V. Visceral Ethical Research Conference 2012, 04th- of a framework describing the role of private leishmaniasis vector control assessment in 06th December; San Diego, United States of philanthropy in Indian national health Bihar, India – An ecohealth approach. In: America. priority setting. In: 2nd National Conference on Bringing Evidence into Public Health 4th Biennial Conference of the International 36. Madhu, R, Arora, M. Bridging the gap: Local Policy; 2012, 05th-06th October; Bengaluru, Association for Ecology and Health: politics and global commitment in tobacco India. Sustaining Ecosystems, Supporting Health control. In: International Conference on (EcoHealth); 2012, 15th-18th October; Public Policy and Governance; 2012, 04th- 42. Nambiar, D, Sheikh, K, Verma, N. Scale-up Kunming, People’s Republic of China. 06th September; Bengaluru, India. of community action for health: Lessons from a realistic evaluation of the mitanin 37. Mohan, S. Methods used for measuring 30. Kamboj, P, Chadha, R, Ghosh-Jerath, S. program in Chhattisgarh, India. In: 2nd population sodium intake in the region. Dietary management of children with National Conference on Bringing Evidence In: Expert Meeting on Population Sodium pervasive developmental disorders. In: into Public Health Policy; 2012, 05th-06th Reduction Strategies for Prevention and Golden Jubilee Conference of Indian October; Bengaluru, India. Dietetic Association; 2012, 29th November - Control of Noncommunicable Diseases in 01st December; Hyderabad, India. the South-East Asia Region; 2012, 11th-13th 43. Narayan, VV, Sheikh, K, Nambiar, D, December; New Delhi, India. Lakshmi, JK, Sathyanarayana, TN, Porter, 31. Khandelwal, S. Human resource J. Engaging traditional, complementary & 38. Mukhopadhyay, I. Health system requirement for public health nutrition alternative medical providers for essential strengthening and the importance of public programming. In: Consultative Workshop on health service delivery in India: Operational investment: A study of National Rural The India Health Report 2012, 07th-08th and ethical challenges to integration in three Health Mission in Bihar. In: 2nd National August; New Delhi, India. states of India. In: 4th National Bioethics Conference on Bringing Evidence into Public Conference; 2012, 07th December; 32. Kumar, GA. Population-based cohort study Health Policy; 2012, 05th-06th October; Hyderabad, India. in a high HIV burden district of India shows Bengaluru, India. higher incidence. In: 13th IUSTI World 44. Neogi, SB, Shetty, G, Ray, S, Sadhukhan, 39. Nair, M, Ohuma, E, Ariana, P, Webster, Congress Conference; 2012, 15th-17th P, Reddy, SS. Setting up a quality assurance P, Gray, R. Effect of the Mahatma Gandhi October; Melbourne, Australia. model for newborn care – An intervention National Rural Employment Guarantee Act to strengthen health system in Bihar, India. 33. Lakshmi, JK. Then, now, and evermore: on malnutrition of children aged between 1 In: International Public Health Conference; Systems of health for all times. In: An and 12 months in Rajasthan, India: A mixed 2012, 03rd-05th October; Kuala Lumpur, International Forum State of the Art - methods study. In: New Voices in Global Malaysia. Direction for the future Conference; 2012, Health, World Health Summit; 2012, 23rd 06th-09th August; Trondheim, Norway. October; Berlin, Germany. 45. Panda, R. Integrating tobacco control into health programs in India. In: International 148 Society for the Prevention of Tobacco and middle income urban households in experiment in India. In: 2nd National Induced Diseases; 2012, 21st –23rd Delhi, India. In: 10th Conference of Indian Conference on Bringing Evidence into Public September; Vienna, Austria. Association for Social Sciences and Health Health Policy; 2012, 05th-06th October; (IASSH); 2012, 21st-23rd November; New Bengaluru, India. 46. Panda, R. Using mixed method approach to Delhi, India. study systems preparedness for an integrated 57. Reddy, H. Priority setting of a state for model of tobacco control. In: 2nd Global 52. Prabhakaran, D. Review of salt and health: maternal, child health and nutrition Symposium on Health Systems Research; Situation in South-East Asia Region. In: interventions/investment using multi criteria 2012, 31st October-03rd November; Expert Meeting on Population Sodium decision analysis. In: 10th Conference of Beijing, People’s Republic of China. Reduction Strategies for Prevention and Indian Association for Social Sciences and Control of Noncommunicable Diseases in Health (IASSH); 2012, 21st-23rd November; 47. Pathak, G. Informal providers and delivery the South-East Asia Region; 2012, 11th-13th New Delhi, India. of public goods among marginalized December; New Delhi, India. population: A case study from the Revised 58. Reddy, H, Vellakkal, S, Chandran, A. Out- National Tuberculosis Control Program 53. Prabhakaran, P, Kondal, D, Kinra, S, of-pocket-expenditure for family on normal (RNTCP), India. In: 2nd Global Symposium Radhakrishna, KV, Reddy, KS, Ben-Shlomo, vaginal and caesarean-section deliveries and on Health Systems Research; 2012, 31st Y, Smith, GD. Intergenerational associations influence of Janani Suraksha Yojana program October-03rd November; Beijing, People’s between parental height and cardiovascular on delivery associated borrowings in the Republic of China. disease risk in the offspring –findings from states/union territories of India. In: APA the Andhra Pradesh Children and Parents 2nd conference; 2012, 26th-29th August; 48. Pathak, G. Free diagnostic and treatment Study (APCAPS). In: DOHaD Satellite Bangkok, Thailand. services under Revised National Tuberculosis Symposium; 2012, 06th-07th December; Control Program (RNTCP), India: barriers 59. Rout, SK, Kumar, R. Health cost study on Rotterdam, The Netherlands. to their full utilization by the marginalized tobacco use. In: National Consultation on population. In: 2nd Global Symposium 54. Raj, SS, Sahoo, PK, Chauhan, K, Manthri, Economics of Tobacco; 2012, 20th-21st on Health Systems Research; 2012, 31st S. Improved access to safe blood must December; New Delhi, India. October-03rd November; Beijing, People’s be prioritized as a core component of 60. Rout, SK, Kumar, R, Srivastava, S. Tobacco Republic of China. comprehensive efforts to provide safe taxation in India. In: National Consultation deliveries and prevent maternal deaths. 49. Pati, S. Association of W-6/W-3 fatty acid on Economics of Tobacco; 2012, 20th-21st In: 2nd Global Symposium on Health ratio with metabolic syndrome in India. In: December; New Delhi, India. Systems Research; 2012, 31st October-03rd 1st International Congress on Lipidology November; Beijing, People’s Republic of 61. Sawleshwarkar, S, Caldwell, M, Singh, A, and Atherosclerosis (ICLA); 2012, 14th-15th China. Mpofu, E, Zodpey, SP, Mindel, A, Hillman, September; Seoul, South Korea. RJ. Building international capacity in 55. Raman, VR, Sheikh, K, Saligram, P, 50. Persai, D, Panda, R, Jena, PK. STIs and HIV – An innovative model. In: Verma, N, Sharma, N. Governance ‘tool Communication in tobacco control: The The International Union against Sexually kits’ for universal health coverage in India: health care provider’s perspective. In: 43rd Transmitted Infections (IUSTI) conference; Guidelines for implementing the expert Union World Conference on Lung Health; 2012, 15th-17th October; Melbourne, group’s recommendations. In: 2nd National 2012, 13th-17th November; Kuala Lumpur, Australia. Conference on Bringing Evidence into Public Malaysia. Health Policy; 2012, 05th-06th October; 62. Seshadri, T, Trivedi, M, Saxena, D, Soors, W, 51. Prabdhan, M, Taylor, F, Agrawal, S, Ebrahim, Bengaluru, india. Criel, B, Devadasan, N. Impact of RSBY on S. Food acquisition and intra-household enrolled households: Lessons from Gujarat. 56. Rao, KD. How to attract health workers to consumption patterns: a study of low In: 2nd National Conference on bringing rural areas? Findings from a discrete choice 149 Evidence into Public Health Policy; 2012, New Delhi. In: 10th Conference of Indian by research personnel. In: 11th World 05th-6th October; Bengaluru, India. Association for Social Sciences and Health Conference on Injury Prevention and Safety (IASSH); 2012, 21st-23rd November; New Promotion; 2012, 01st-04th October; 63. Sheikh, K. Using evidence to facilitate Delhi, India. Wellington, New Zealand. community participation in planning for universal health coverage in India. In: 2nd 69. Tetali, S. Blood bonds? A qualitative study 75. Thakur, CP. Study on assessment of food Global Symposium on Health Systems of how people arrange blood for their safety and hygiene practices among street Research; 2012, 31st October-03rd relatives in Kerala, India. In: 1st Singapore food vendors in Delhi, India. In: 34th Annual November; Beijing, People’s Republic of International Public Health Conference; Conference of Indian Association for Study China. 2012, 01st-02nd October; Singapore. of Population; 2012, 13th-15th December; Pune, India. 64. Sheikh, K. Analyzing power in health 70. Tetali, S. Transportation and health: Urgent systems: The case of medical dominance need for collaboration. In: International 76. Venkataramanan, V, Kakkar, M, Abbas, SS. in India. In: 2nd National Conference on conference on Transportation Planning Community and health system perceptions bringing Evidence into Public Health Policy; and Implementation Methodologies for influencing Japanese encephalitis 2012, 05th-06th October; Bengaluru, India. Developing Countries; 2012, 12th-14th transmission in an endemic region. In: 4th December; Mumbai, India. Biennial Conference of the International 65. Sheikh, K, Raman, V, Mayra, K. Nurturing Association for Ecology and Health: nursing in India: Need for governance 71. Tetali, S, Lakshmi, JK. Leveraging the Sustaining Ecosystems, Supporting Health reform. In: 2nd National Conference on position of healthcare professionals for (EcoHealth); 2012, 15th-18th October; Bringing Evidence into Public Health Policy; road safety advocacy. In: 1st Singapore Kunming, People’s Republic of China. 2012, 05th-06th October; Bengaluru, India. International Public Health Conference; 2012, 01st-02nd October; Singapore. 77. Venkataramanan, V, Kakkar, M, Abbas, SS. 66. Singh, A. Road safety – Behavioural An Ecohealth approach to understanding management and policy issue. In: 72. Tetali, S, Lakshmi, JK. Are Indian roads Japanese encephalitis transmission in an International Conference on Safety – safe? Perspectives of road users and epidemic-prone Indian district. In: 4th Promoting a Culture of Safety; 2012, 12th- administrators. In: 18th Qualitative Health Biennial Conference of the International 13th October; Gandhinagar, Gujarat. Research (QHR) Conference; 2012, 23rd- Association for Ecology and Health: 25th October; Montreal, Canada. 67. Singh, PV, Tatambhotla, A, Kalvakuntla, Sustaining Ecosystems, Supporting Health R, Chokshi, M. Strengthening public drug 73. Tetali, S, Lakshmi, JK. Ageing and urban (EcoHealth); 2012, 15th-18th October; procurement systems: A comparative mobility: How do the senior citizens in Kunming, People’s Republic of China. study of five Indian states. In: 2nd Global Hyderabad, India, get around? In: 3rd 78. Wadhwaniya, S, Gupta, S, Tetali, S, Symposium on Health Systems Research; International Conference on Urban Mobility; Lakshmi, JK, Hyder, A. Validity of self- 2012, 31st October-03rd November; 2012, 07th-08th December; Surabaya, reported helmet-use among motorcyclists Beijing, People’s Republic of China. Indonesia. in India. In: 11th World Conference on 68. Taylor, F, Prabdhan, M, Satija, A, Ebrahim, 74. Tetali, S, Lakshmi, JK, Gupta, S, Gururaj, Injury Prevention and Safety Promotion; S. Trends in the availability, costs and G, Hyder, A. Collecting road traffic injury 2012, 01st-04th October; Wellington, New affordability of a healthy food basket in (RTI) data: Barriers and enablers experienced Zealand.

150 Books and Book Chapters Jan – Aug 2013

1. Agrawal, S. Active and Passive Elimination of Responses to Non-Communicable and 6. Stigler, MH, Medina, J, Arora, M, Nazar, of Girl Child. New Delhi, India: Axis Books Communicable Diseases. New York, United GP, Rodrigues, LM, Reddy, KS, Perry, CL. Private Limited; 2013. States of America: Routledge; 2013. p.76-91. Adolescents’ response to food marketing in Delhi, India. In: Williams, JD, Pasch, 2. Gupta, V, Ebrahim, S. Genomics of 4. Nakkeeran, N. Integration of Traditional KE, Collins, CA, editors. Advances in Chronic Obstructive Pulmonary Disease. Systems of Medicine with Modern Health Communication Research to Reduce In: Vijayan, VK, editor. World Clinics System at the Primary Health Centre Level. Childhood Obesity. New Delhi: Springer Pulmonology and Critical Care Medicine. In: Siva, R, editor. Primary Health Care in Science+Business Media; 2013. p.269-84. New Delhi, India: Jaypee Brothers Medical India: Status, Challenges and Prospects. Publishers; 2013. Delhi, India: B.R. Publications; 2013. 7. Vidyasagar, D, Daruru, R. Global view of neonatal care. In: Mathew, O, editor. 3. Mohan, S, Reddy, KS. Health Transition 5. Panda, R, Pathak, G. Reforms in Health Inside Health Care: ICU care of neonate and the Rising Threat of Chronic Non- Sector Regulation: Way Forward for Who decides? Who pays? Who can afford? communicable Diseases in India. In: Achieving Universal Health Coverage. In: . Bantham Science Published: New York, Lewis, MJ, MacPherson, KL, editors. Aijaz, R, editor. Public Health Concerns and United States of America; 2013. p.3-17. Health Transitions and the Double Disease Reforms: Perceptions of the Civil Society. Burden in Asia and the Pacific: Histories New Delhi: Academic Foundation; 2013. p.17-247. Aug – Dec 2012

1. Agrawal, S. Health and Nutritional 3. Dey, S. Urban-Rural Differences of Female America: The National Academies Press; Disadvantage Among Tribal Women Cancers in Gharbiah, Egypt: Hormonal 2012. p.371-86. and Children of Orissa: An Enquiry. In: Conundrums of Exposure and Effect in Somayajulu, UV, Panda, GK, Kar, R, Local and Global Environments. Paperback 5. Gilson, L, Bennett, S, Hanson, K, Kielmann, Mishra, P, Singh, KK, editors. Population, ed. Saarbrücken, Germany: LAP Lambert K, Orgill, M, Schneider, H, Agyepong, I, Reproductive and Child Health: Perspectives Academic Publishing; 2012. Sheikh, K, Ssengooba, F. Doing Health and Challenges. New Delhi, India: Serial Policy and Systems Research: Key Steps in 4. Dey, S, Nambiar, D, Lakshmi, JK, Sheikh, Publications; 2012. p.317-36. the Process. In: Gilson, L, editor. Health K, Reddy, KS. Health of the Elderly in India: Policy and Systems Research: Methodology 2. Avan, B, Gautham, M, Bhattacharyya, S, Challenges of Access and Affordability. In: Reader. Geneva, Switzerland: World Health Srivastava, A. Data Informed Platform for Smith, JP, Majumdar, M, editors. Aging in Organization; 2012. p.41-60. Health, Feasibility Study, Uttar Pradesh. Asia: Findings from new and emerging data London, United Kingdom: London School of initiatives. Washinton D C, United States of 6. Gupta, I, Trivedi, M, Rudra, S, Joe, W, Peter, Hygiene and Tropical Medicine 2012. B, Subbiah, R. Implications and Feasibility 151 of Commercial Health Insurance for People 11. Murthy, GVS. Community Ophthalmology. in the basic packages of HIV treatment and Living with HIV in India. In: Narain, JP, In: Chaudhuri, Z, Vanathi, M, editors. care services in low and middle-income editor. Three Decades of HIV/AIDS in Asia. Postgraduate Ophthalmology. New Delhi, countries? Avenel, United States of America: Hardcover ed. London, United Kingdom: India: Jaypee Brothers Medical Publishers; AIDS: Lippincott Williams & Wilkins; 2012. Sage Publications Pvt. Ltd; 2012. p.450-66. 2012. p.3-17. 17. Sastry, UVKV, Chandran, AS, Somayajulu, 7. Kahol, K. Securing Funding for Simulation 12. Murthy, GVS, Johnson, G. Prevalence, UV. Optimizing NRHM Impact on Child Centers and Research. In: Levine, AI, Incidence and Distribution of Visual Health Outcomes in Disadvantaged Groups DeMaria, S, Schwartz, AD, Sim, A, editors. Impairment. In: Johnson, GJ, Minassian, of India. In: Somayajulu, UV, Panda, GK, Kar, The Comprehensive Textbook of Healthcare DC, Weale, RA, West, SK, editors. The R, Mishra, P, Singh, KK, editors. Population, Simulation. New York, United States of Epidemiology of Eye Disease. London, Reproductive and Child Health: Perspectives America: Springer-Verlag; 2012. p.715. United Kingdom: Imperial College Press; and Challenges. New Delhi, India: Serials 2012. p.3-61. Publications; 2012. p.288-316. 8. Mavalankar, DV, Raman, PS. Health Systems. In: Hussein, J, McCaw-Binns, 13. Murthy, GVS, Thippaiah, A, Singh, S, 18. Singh, A, Zodpey, SP, Gaidhane, AM, A, Webber, R, editors. Maternal and Sulgodu, S, Shukla, R. Maternal Death Zahiruddin, QS. Strengthening Health Perinatal Health in Developing Countries. Review in Andhra Pradesh: Standard Systems to Address Child Health. In: Oxfordshire, United Kingdom: CAB Operating Procedures. Hyderabad, India: Merrick, J, editor. Child Health and Human International; 2012. p.64-76. Indian Institute of Public Health; 2012. Development Yearbook 2012. Jerusalem, Israel: Nova Publishers; 2012. 9. Metcalfe, M, Saha, S, Rao, DSK, Stack, 14. Narayan, K, Kar, S, Gupta, N. From K, Awimbo, A. Integrated Health and ‘Paramedics’ to ‘Allied Health Professionals’: Microfinance in India: Harnessing the Landscaping the Journey and Way Forward. Strengths of Two Sectors to Improve Health New Delhi, India: Public Health Foundation and Alleviate Poverty. Gandhinagar, India: of India; 2012. Freedom From Hunger, Indian Institute of 15. Phoya, A, Mavalankar, DV, Raman, PS, Public Health Gandhinagar, and Microcredit Hussein, J. Improving the Availability of Summit Campaign; 2012. Services. In: Hussein, J, McCaw-Binns, 10. Murali Prasad, MR. Different Types of File A, Webber, R, editors. Maternal and Formats of E-Resources. In: Ramaiah, LS, Perinatal Health in Developing Countries. Veeranjaneyulu, K, Sujatha, G, editors. Next Oxfordshire, United Kingdom: CAB Generation Librarianship: Strategies for International; 2012. p.127-38. Change Management. Hyderabad, India: B S 16. Ross, DR, Weller, I, Hakim, J, Hira, S, (Guest Publication; 2012. p.145-57. editor). Evidence for action: What should be

152 Publications at a Glance

The research conducted at PHFI has resulted in several scientific and policy related publications, many in high impact journals.

• Average Impact Factor of all publications between October 2007- till October 2013 = 5.3

• Average Impact Factor of publications between August 2012 - August 2013 = 6.2

153 154 155 156 Financials PROJECT FUNDS CORPUS AND SPECIFIED FUNDS (Cumulative from inception till March 31, 2013)

PHFI has received funding, as corpus and specified funds, from support- The total funds received for projects/grants from inception till ers including central and state governments, foundations, private sector and March 31, 2013 are INR 325.19 Crores. Of this, INR 82.34 was individual philanthropists. We are deeply appreciative of their support. The received in 2012-13. The source wise details (broad categories) total corpus funds received by PHFI since inception till March 31, 2013, are are as follows in the table below: INR 100 Crores, and Specified Funds are INR 119 Crores. Amongst the core supporters, Government of India has provided INR 65 Crores (part of Corpus Source/Category INR, ` Cr Funds), and balance INR 154 Crores are from Foundations (INR 110.5 crore, of which INR 69.22 Crore is from the Bill & Melinda Gates Foundation) and Not-for profit organizations and foundations 187.65 Private Sector & individual philanthropists (INR 43.5 Crore). The closing posi- Government (Indian & foreign), associated 59.63 tion of funds for the financial year 2012-13 was: Corpus Funds at INR 100 agencies, bilateral and multilaterals Crores; Specified Funds at INR 82 Crore. Academic & research institutions 36.73 The source wise details are mentioned in the table below: Corporates & their foundations 39.84 (Cumulative from inception till March 31, 2013) Others 1.54 Source INR (Crores) TOTAL 325.39 Government of India, Ministry of Health & Family Welfare 65.00 Bill & Melinda Gates Foundation 69.22 Acknowledgements: We would like to acknowledge the invaluable support of the following individuals and organizations, Nand & Jeet Khemka Foundation 19.86 who have contributed during the year 2012-13 to PHFI. HCL Corporation 10.00 MMTC India Ltd for establishing scholarship program for meri- AKM Systems Pvt. Ltd. 10.00 torious students belonging to socially and economically deprived Rohini Nilekani 10.00 communities pursuing the Post Graduate Diploma in Public Health Management (PGDPHM) offered by IIPH. Amar Foundation 9.08 Reliance Industries 6.00 Dr. Mangal Katikineni, Dr. Anil Tulpule and Dr. M. K. Mohan for supporting an endowment fund for students of Public Health Nu- Ranbaxy Promoter Group 5.00 trition in the honour of Dr. P.G Tulpule, former Director of National Friends of ISB Foundation 4.96 Institute of Nutrition, Hyderabad.

Give2Asia/Deshpande Foundation 2.54 STC of India Ltd for setting up a Fellowship Fund to foster tobacco Spandana Foundation 2.50 prevention and control and improve health outcomes among women and children in Barabanki district, Uttar Pradesh. American India Foundation 2.34 GVK Power and Infrastructure Limited 1.25 Mr. Hari Bugganna and Binani Cement Ltd for their contribution towards the PHFI Research fund. GMR Projects Private Limited 1.25 157 TOTAL 219.00 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 Email: [email protected] /Website: www.phfi.org Contact

• Concept, Design & Print by: GENESIS 9810033682 [email protected], www.genesisonline.in