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Regulating new drugs in India needs to be improved
(The Lancet Regional Health - Southeast Asia, 2023) Peter Roderick
The authors point out that drug regulatory responsibilities in the country are divided between the national regulator, the Central Drugs Standards Control Organization (CDSCO), and the states.
Health Impact Assessment as a tool in India for evaluating how policies, programs influence the health of the population
(Indian Journal of Community Health, 2024) Nitesh Kumar; Sanjeev Kumar Rasania
Health Impact Assessment (HIA) systematically assesses the health impacts of policies, programs on a population, with a focus on the holistic well-being of individuals. This approach employs diverse methods to identify positive and negative health impacts, along with unintended consequences, offering recommendations for effective management. HIA considers economic, social, psychological, environmental, and organizational factors in community health. The process involves key steps like assessing baseline health, identifying impacts, quantifying and valuing them, ranking importance, and proposing management recommendations. HIA can be prospective, retrospective, or concurrent during implementation.
Health in Food Systems Policies in India: A Document Review
(International Journal of Health Policy and Management, 2021) Adithya Pradyumna; Arima Mishra; J黵g Utzinger; Mirko S. Winkler
Food systems affect nutritional and other health outcomes. Recent literature from India has described policy aspects addressing nutritional implications of specific foods (eg, fruits, vegetables, and trans-fats), and identified opportunities to tackle the double burden of malnutrition. This paper attempts to deepen the understanding on how health concerns and the role of the health sector are addressed across food systems policies in India. Methods: This qualitative study used two approaches; namely (i) the framework method and (ii) manifest content analysis, to investigate national-level policy documents from relevant sectors (ie, food security, agriculture, biodiversity, food processing, trade, and waste management, besides health and nutrition). The documents were selected purposively. The textual data were coded and compared, from which themes were identified, described, and interpreted. Additionally, mentions of various health concerns and of the health ministry in the included documents were recorded and collated. Results: A total of 35 policy documents were included in the analysis. A variety of health concerns spanning nutritional, communicable and non-communicable diseases (NCDs) were mentioned. Undernutrition received specific attention even beyond nutrition policies. Only few policies mentioned NCDs, infectious diseases, and injuries. Governing and advisory bodies were instituted by 17 of the analysed policies (eg, food safety, agriculture, and food processing), and often included representation from the health ministry (9 of the 17 identified inter-ministerial bodies). Conclusion: We found some evidence of concern for health, and inclusion of health ministry in food policy documents in India. The ongoing and planned intersectoral coordination to tackle undernutrition could inform actions to address other relevant but currently underappreciated concerns such as NCDs. Our study demonstrated a method for analysis of health consideration and intersectoral coordination in food policy documents, which could be applied to studies in other settings and policy domains.
Establishment of Public Health Management Cadre in India and Guidelines for Implementation � 2022
(Public Health Open Access, 2022) Piyush Kumar
National Health Policy (NHP) 2017 proposed that a multi/interdisciplinary health workforce is necessary for managing programs under National Health Mission. National Health Policy 2017 considered creating Public Health Management Cadre (PHMC) in all States.
Cost of hospital services in India: a multi-site study to inform provider payment rates and Health Technology Assessment
(BMC Health Services Research, 2022) Akashdeep Singh Chauhan; Lorna Guinness; Pankaj Bahuguna; Maninder Pal Singh; Vipul Aggarwal; Kavitha Rajsekhar; Surbhi Tripathi; Shankar Prinja
The 'Cost of Health Services in India (CHSI)' is the first large scale multi-site facility costing study to incorporate evidence from a national sample of both private and public sectors at different levels of the health system in India. This paper provides an overview of the extent of heterogeneity in costs caused by various supply-side factors.