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Article
Publication date: 15 June 2015

Gopal Agrawal

Twenty-first century has dawned with substantial achievements in population health outcome indicators in India. However, very little is known on patterns in causes of…

Abstract

Purpose

Twenty-first century has dawned with substantial achievements in population health outcome indicators in India. However, very little is known on patterns in causes of death in India. The paper aims to discuss this issue.

Design/methodology/approach

In this paper, data was drawn from two sources namely, National Family Health Survey (NFHS-1, 1992-1993 and NFHS-2, 1998-1999) and published reports of Survey of Cause of Death (Rural). Three-years moving average causes-of-death estimates were calculated based on World Health Organization classification of causes of death. Negative binomial regression models were fitted to capture the effect of socio-demographic and behavioural determinants of patterns in causes of death.

Findings

The leading causes of death were heart diseases, tuberculosis, asthma, paralysis, prematurity and cancer. Three-fifth of the deaths to children under the age of ten was from communicable, maternal, perinatal and nutritional conditions. On the other hand, about two-third persons aged 45 years and above were dying from non-communicable diseases. Female were at greater risk of dying from non-communicable diseases (IRR: 1.22, 95 per cent CI: 1.11-1.34, p < 0.001).

Research limitations/implications

The epidemiologic transition in India has produced a shift in mortality from communicable, maternal, perinatal and nutritional conditions to non-communicable diseases, with little or no role played by injuries regardless of the level of all-cause mortality. Coupled with the effects of population age structures, other factors were also responsible for the bulk of the inter-regional disparities. These factors include differences in the populations’ health risks associated with the natural or built environments, prevalence of behavioural risk factors, or gaps in the capacities of health systems to respond to specific disease challenges, social stratification and others.

Originality/value

This paper described the trends, patterns and geographic variability in India’s causes-of-death profile in terms of communicable diseases, non-communicable diseases and injuries, and socio-economic and demographic determinants of patterns in the profile.

Details

International Journal of Human Rights in Healthcare, vol. 8 no. 2
Type: Research Article
ISSN: 2056-4902

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Book part
Publication date: 7 August 2019

Afshin Mehrpouya and Rita Samiolo

Through the example of a “regulatory ranking” – an index produced with the aim to regulate the pharmaceutical market by pushing companies in the direction of providing…

Abstract

Through the example of a “regulatory ranking” – an index produced with the aim to regulate the pharmaceutical market by pushing companies in the direction of providing greater access to medicine in developing countries – this chapter focuses on indexing and ranking as infrastructural processes which inscribe global problem spaces as unfolding actionable territories for market intervention. It foregrounds the “Indexal thinking” which structures and informs regulatory rankings – their aspiration to align the interests of different stakeholders and to entice competition among the ranked companies. The authors detail the infrastructural work through which such ambitions are enacted, detailing processes of infrastructural layering/collage and patchwork through which analysts naturalize/denaturalize various contested categories in the ranking’s territory. They reflect on the consequences of such attempts at reconfiguring global topologies for the problems these governance initiatives seek to address.

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Thinking Infrastructures
Type: Book
ISBN: 978-1-78769-558-0

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Expert briefing
Publication date: 17 October 2016

In the same period, the share of deaths from communicable (or infectious) diseases has fallen from 30% to 23%. Yet there has been no corresponding shift in global…

Details

DOI: 10.1108/OXAN-DB214124

ISSN: 2633-304X

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Geographic
Topical
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Article
Publication date: 23 April 2018

Oluwafolahan Oluwagbemiga Sholeye, Victor Jide Animasahun, Albert Adekunle Salako and Adebisi Dare Oduwole

The rising incidence of non-communicable diseases in the developing world has remained a cause of concern for health workers. Childhood and adolescent obesity is on the…

Abstract

Purpose

The rising incidence of non-communicable diseases in the developing world has remained a cause of concern for health workers. Childhood and adolescent obesity is on the increase as a result of several issues including dietary habits. This paper aims to assess the pattern of snacking and sweetened beverage consumption among in-school adolescents in Sagamu, Nigeria.

Design/methodology/approach

A cross-sectional study was carried out among 620 in-school adolescents, selected via multi-stage sampling, using a semi-structured, self-administered questionnaire. Data were analyzed using SPSS 20.0. Relevant descriptive and inferential statistics were calculated, with p < 0.05.Participation was fully voluntary and strict confidentiality ensured.

Findings

All respondents consumed sugar-sweetened beverages, at different regularity; 78.5 per cent preferred carbonated drinks; 44.2 per cent consumed energy drinks, with a significant difference between males and females regarding the pattern of consumption of sweetened beverages (p = 0.042) and reasons for the choice of drinks (p = 0.009). Almost all (95.3 per cent) respondents snacked at varying frequencies, with more women (97.2 per cent) snacking than men (p = 0.008). Over 51.7 per cent of respondents snacked daily with no significant difference (p = 0.147) between males and females respondents regarding frequency of snacking. Pies and pastries were most frequently consumed. There was a significant difference (p = 0.007) between the preferences of male and female respondents.

Originality/value

The consumption of refined sugars was high among respondents, indicating presence of unhealthy dietary habits. Concerted efforts at nutrition education through the school system should be made to reduce the risk of non-communicable diseases among adolescents.

Details

Nutrition & Food Science, vol. 48 no. 3
Type: Research Article
ISSN: 0034-6659

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Content available
Article
Publication date: 3 October 2008

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146

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 21 no. 7
Type: Research Article
ISSN: 0952-6862

Content available
Article
Publication date: 13 July 2012

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390

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 25 no. 6
Type: Research Article
ISSN: 0952-6862

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Content available
Book part
Publication date: 6 May 2019

Mitch Blair, Denise Alexander and Michael Rigby

Primary care (PC) is a strong determinant of overall health care. Children make up around a fifth of the population of the European Union and European Economic Area and…

Abstract

Primary care (PC) is a strong determinant of overall health care. Children make up around a fifth of the population of the European Union and European Economic Area and have their own needs and uptake of PC. However, there is little research into how well PC services address their needs. There are large differences in childhood mortality and morbidity patterns in the EU and EEA countries, and there has been a major epidemiological shift in the past half century from predominantly communicable disease, to non-communicable diseases presenting and increasingly managed in PC. This increase in multifactorial morbidities, such as obesity and learning disability, has led to the need for PC systems to adapt to accommodate these changes. Europe presents a challenging picture of unexplained variation in health care delivery and style and of children’s different health experiences and health-related behaviour. The Models of Child Health Appraised (MOCHA) project aimed to describe the PC systems in detail, analyse their components and appraise them from a number of different viewpoints, including professional, public, political and economic lenses. It did this through nine work packages supported by a core management team, and a network of national agents, individuals in each MOCHA country who had the expertise in research and knowledge of their national health care system to answer a wide range of questions posed by the MOCHA scientific teams.

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

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Content available
Article
Publication date: 11 June 2021

Sonalee Rajput, Sibasis Hense and K.R. Thankappan

The study examined the utilisation patterns of healthcare services among tea garden workers and analysed the factors influencing utilisation in an Indian context.

Abstract

Purpose

The study examined the utilisation patterns of healthcare services among tea garden workers and analysed the factors influencing utilisation in an Indian context.

Design/methodology/approach

The authors employed a mixed-method approach and an explanatory sequential design for the study. A survey was conducted in the beginning followed by in-depth interviews in a north-eastern state of India (Assam). Andersen health behaviour model was used to explore the factors influencing healthcare utilisation. The sample size for the survey and in-depth interviews were 300 and 19, respectively, recruited employing multistage random and purposive sampling techniques.

Findings

Out of 300 workers surveyed, 169 (56.3%) were females, 257 (85.7%) were married, 77 (25.7%) were illiterates and 229 (76.3%) had monthly household income less than 100 US$. The survey also found that 47.3% and 15.3% had non-communicable and communicable disease respectively. Most of the workers (67.3%) utilised government facilities, and close to one third (28.7%) utilised tea garden hospitals. About 63.3% had health insurance, but a majority (78.9%) did not use it previously. The analyses of interviews explored the need, enabling, predisposing factors under three important themes influencing utilisation of healthcare services among the workers.

Practical implications

The study generates evidence to strengthen the Indian Plantation Labour Act, 1951 for tea garden worker's welfare protection and warrants transition from colonial-era policies to contemporary industry realities in order to improve their living, employment, nutritional and health conditions.

Originality/value

The research adds to the existing literature on overall healthcare services utilisation (including coverage and utilisation of health insurance) among blue collar workers who usually lack access to healthcare facilities and explores important factors that determine utilisation in the Indian context.

Details

Journal of Health Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0857-4421

Keywords

Content available
Book part
Publication date: 6 May 2019

Michael Rigby, Shalmali Deshpande, Daniela Luzi, Fabrizio Pecoraro, Oscar Tamburis, Ilaria Rocco, Barbara Corso, Nadia Minicuci, Harshana Liyanage, Uy Hoang, Filipa Ferreira, Simon de Lusignan, Ekelechi MacPepple and Heather Gage

In order to assess the state of health of Europe’s children, or to appraise the systems and models of healthcare delivery, data about children are essential, with as much…

Abstract

In order to assess the state of health of Europe’s children, or to appraise the systems and models of healthcare delivery, data about children are essential, with as much precision and accuracy as possible by small group characteristic. Unfortunately, the experience of the Models of Child Health Appraised (MOCHA) project and its scientists shows that this ideal is seldom met, and thus the accuracy of appraisal or planning work is compromised. In the project, we explored the data collected on children by a number of databases used in Europe and globally, to find that although the four quinquennial age bands are common, it is impossible to represent children aged 0–17 years as a legally defined group in statistical analysis. Adolescents, in particular, are the most invisible age group despite this being a time of life when they are rapidly changing and facing increasing challenges. In terms of measurement and monitoring, there is little progress from work of nearly two decades ago that recommended an information system, and no focus on the creation of a policy and ethical framework to allow collaborative analysis of the rich anonymised databases that hold real-world people-based data. In respect of data systems and surveillance, nearly all systems in European society pay lip service to the importance of children, but do not accommodate them in a practical and statistical sense.

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

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Article
Publication date: 1 October 2002

A.H. Subratty, Y.B. Heesambee, V. Jowaheer and N. Doreemiah

This article focuses on the assessment of the practical knowledge of cardiac patients and health care professionals of a heart‐healthy diet. Based on our findings, we…

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2265

Abstract

This article focuses on the assessment of the practical knowledge of cardiac patients and health care professionals of a heart‐healthy diet. Based on our findings, we proposed that cardiac patients in Mauritius should be referred to dieticians on a more routine basis if effective dietary change is to be successfully implemented. Our findings lend further support for the need of continuing education for health care professionals in the field of nutrition.

Details

Nutrition & Food Science, vol. 32 no. 5
Type: Research Article
ISSN: 0034-6659

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