INTREC- Situation Analysis of Social Determinants of Health in India

 

Title: INDEPTH Training and Research Centres of Excellence

Period: February 2012 to September 2012

Grant Number, if any: 282605

Collaborators: 

  1. Umea Centre for Global health research, epidemiology and global health 
  2. The Institute of Public Health, Heidelberg University 
  3. INDEPTH (An International Network for the Demographic Evaluation of Populations and their Health 
  4. Center of Health Service Management, Gadjah Mada Medical School, Gadjah Mada University
  5. Centre for Global Health and Inequality, faculty of social and behavioral Sciences

Sponsor: European Commission

Investigator/s: Peter Byass

Rationale:  The WHO formed the commission on Social determinants of health in 2005. This commission emphasized the need for global action on social determinants of health by all the governments in order to achieve health equity. Action on social determinants of health is the need of the hour for which evidence on the relationship between determinants and outcomes is required. Setting specific, timely and relevant evidence is essential. However this information is inadequate in low and middle income countries. More research on social determinants of health and capacity building activities are called for to enable research on Social determinants of health.

Aim/s and objectives: 

  1. To establish the key research issues regarding social determinants of health that may be relevant in Maharashtra, India
  2. To establish where policy changes regarding social determinatants of health may be needed, as well as when relevant policy reviews may be expected to which INTREC could contribute
  3. To conduct an assessment of training needs for research on adult health and social determinants in Maharashtra, India
  4. To lay the foundation for ensuring the long-term sustainability of the INTREC by raising awareness among key national-level stakeholders

Research Methods/Study Design: Literature review on Social determinants of Health, curricular review on training on SDH in Maharashtra, Interviews of stakeholders, and qualitative data analysis of Interviews

Study population: Maharashtra

Outcome/Findings: 

 

  • Unequal distribution and allocation of resources leads to high IMR, gender discrimination etc which are determined by underlying determinants such as poverty, Illiteracy and caste.
  • Out of pocket expenditures high in Maharashtra due to low health care expenditure by the state government
  • Arms of the government do not consult each other with regards to policy
  • Courses related to Social Determinants of Health are taught separately which implies that the graduates do not have complete understanding of health equalities 

 

List of Publication, if any:

  • Kekan, D., Juvekar, S., Wu, B., Padmawati, S., & Kinsman, J. (2012). India country report. Retrieved from http://www.intrec.info/Country reports/INTREC - India.pdf
  • Kekan, D., Juvekar, S., Kinsman, J. (2012).  Policy brief : An emphasis on training health researchers in the Social Determinants of Health will help to reduce health inequities in Maharashtra State, India. Retrieved from http://www.intrec.info/Country%20reports/INTREC%20Policy%20Brief%20-%20India.pdf

 

 

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