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Need for operational simplicity and timely disbursal of benefits—a qualitative exploration of the implementation of a direct benefit transfer scheme for persons with tuberculosis in India

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Infectious Diseases of Poverty 2024年第3期13卷 58-72页

作者： Malu Mohan Jeromie W.v.Thangaraj Sumit Pandey G.Sri Lakshmi Priya Sivavallinathan Arunachalam Rahul Sharma Hemant Deepak Shewade B.Aishwarya K.Afeeq Afsana Khatoon B.Gokulvijay Gude Sireesha Kavita Chandra S.Nandhakumar Prince Samuel C.Nanditha viswanathan Devika Shanmugasundaram Raghuram Rao manoj v.murhekar Kathiresan Jeyashree Indian Council of Medical Research-National Institute of Epidemiology R-127TNHBAyapakkamChennaiTamil Nadu 600077India TB Support Network WHO Country Office for IndiaNew DelhiIndia Central Tuberculosis Division Government of IndiaNew DelhiIndia

Background Ni-kshay Poshan Yojana(NPY)is a direct benefit transfer scheme of the Government of India introduced in 2018 to support the additional nutritional requirements of persons with TB(PwTB).Our recent nationwide evaluation of implementation and utilization of NPY using programmatic data of PwTB from nine randomly selected Indian states,reported a 70%coverage and high median delay in benefit *** undertook a qualitative study between January and July 2023,to understand the detailed implementation process of NPY and explore the enablers and barriers to effective implementation and utilization of the NPY *** We followed a grounded theory approach to inductively develop theoretical explanations for social phenomena through data generated from multiple *** conducted 36 in-depth interviews of national,district and field-level staff of the National Tuberculosis Elimination Programme(NTEP)and NPY beneficiaries from 30 districts across nine states of India,selected using theoretical *** analytical framework developed through inductive coding of a set of six interviews,guided the coding of the subsequent *** and themes emerged through constant comparison and the data collection continued until theoretical *** Stakeholders perceived NPY as a beneficial *** political commitment from the state administration,mainstreaming of NTEP work with the district public healthcare delivery system,availability of good geographic and internet connectivity and state-specific grievance redressal mechanisms and innovations were identified as enablers of ***,the complex,multi-level benefit approval process,difficulties in accessing banking services,perceived inadequacy of benefits and overworked human resources in the NTEP were identified as barriers to implementation and *** The optimal utilization of NPY is enabled by strong political commitment and challenged by its length

关键词： National Tuberculosis Elimination Programme Nutritional status Direct benefit transfer Implementation Cash transfer scheme Grounded theory India

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On the transmission pattern of Kyasanur Forest disease (KFD) in India

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Infectious Diseases of Poverty 2015年第1期4卷 271-274页

作者： manoj v.murhekar Gudadappa S.Kasabi Sanjay M.Mehendale Devendra T.Mourya Pragya DYadav Babasaheb v.Tale National Institute of Epidemiology Indian Council of Medical Research(ICMR)ChennaiTamil NaduIndia Department of Health and Family Welfare ShimogaIndia National Institute of virology ICMRPune

Kyasanur Forest disease(KFD),a tick-borne viral hemorrhagic fever,is endemic in five districts of Karnataka state,*** reports of the spread of disease to neighboring districts of the Western Ghats,namely Chamarajanagar district in Karnataka,Nilgiri district in Tamil Nadu,Wayanad and Malappuram districts in Kerala,and Pali village in Goa are a cause for *** vaccination of the affected population,establishing an event-based surveillance system for monkey deaths in the national parks,wildlife sanctuaries and reserve forests of the Western Ghats would help detect the disease early and thereby help implement appropriate control measures.

关键词： Kyasanur Forest disease Ticks virus disease Disease outbreak Transmission India

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High prevalence of soil-transmitted helminth infections among primary school children,Uttar Pradesh,India,2015

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Infectious Diseases of Poverty 2017年第1期6卷 1235-1243页

作者： Sandipan Ganguly Sharad Barkataki Sumallya Karmakar Prerna Sanga K.Boopathi K.Kanagasabai P.Kamaraj Punam Chowdhury Rituparna Sarkar Dibyendu Raj Leo James Shanta Dutta Rakesh Sehgal Priya Jha manoj murhekar National Institute of Cholera&Enteric Diseases Indian Council of Medical ResearchKolkataIndia Evidence Action-Deworm the World Initiative New DelhiIndia GFK Mode MumbaiIndia Department of Epidemiology National Institute of EpidemiologyIndian Council of Medical ResearchChennaiIndia Department of Medical Parasitology Postgraduate Institute of Medical Education and ResearchChandigarhIndia

Background:Soil-transmitted helminth(STH)infections often affect the poorest and most deprived *** order to generate reliable data for planning a school based deworming program,we conducted a survey among primary school children studying in government schools in the Indian state of Uttar *** objectives of our survey were to estimate the prevalence and intensity of STH ***:We conducted a cross-sectional survey among children studying in 130 primary schools from 9 agroclimatic zones,during May-August *** about socio-demographic details,defecation and handhygiene practices,and stool samples were collected from the school *** samples were examined using the Kato-Katz ***:Stool samples from 6421 school children were *** overall weighted prevalence of any STH in the State was 75.6%(95%CI:71.2-79.5).The prevalence was more than 50%in six of the nine agro-climatic *** was the most prevalent STH(prevalence:69.6%),followed by hookworm(prevalence:22.6%)and ***(4.6%).The majority of the STH infections were of low *** practice of open defecation and not washing hands with soap after defecation and residence in kutcha house were significant risk factors of STH ***:STH prevalence among primary school children in Uttar Pradesh was *** the WHO guidelines on deworming frequency according to STH prevalence,Govt of Uttar Pradesh needs to implement a school-based deworming program with bi-annual *** findings of our survey would also help monitor the performance of school based deworming programme.

关键词： Soil-transmitted helminths Uttar Pradesh India

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