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Closing the Gaps: Health Equity Research Initiative in India

India's rapid economic progress has its costs. There has been a significant increase in social and economic inequalities by class, caste, ethnicity, gender, and location. This project will address these inequities through sound, actionable, and measurable evidence. The project team's research will aim to provide insight that will encourage government and civil society to make equal access to health care a priority in their initiatives. India's shortage of research on health inequities The Commission on Social Determinants of Health highlighted the value of evidence in overcoming inequities. India has a shortage of rigorous evidence related to health inequities, and much of it is aggregated at the state or country level. The evidence is often fragmented across academic disciplines, practitioner circles, and civil society actors. Most of the studies fail to examine the combination of factors, pathways, and frameworks that influence how health equity issues are conceptualized, measured, and addressed through public policies. Garnering a more integrated and shared understanding of the state of health inequities in India is a step toward redressing inequities through evidence-informed programs, practices, and policies. Research to overcome the challenges This research project will bring together ideas, actors, and disciplines working to address health inequities in India. The research team will use a multidisciplinary and multi-stakeholder approach to create a health equity research agenda. This agenda will guide emerging health equity researchers in their work to -develop a series of bibliographies; -write working papers; and -conduct original research. Cross-disciplinary network to bridge gaps The project's activities will also include establishing a network of health equity researchers. The network has the potential to continue beyond the project's timeframe, as long as the demand for cross-disciplinary, rigorous evidence remains a priority for decision-makers, researchers, practitioners, and CSO groups. The researchers will provide much-needed analysis and results that inform current health equity challenges. The network can be called upon for ongoing analysis and translation of health equity research to address emerging and persistent challenges. Strength in collaboration and numbers The project will help increase the connections between previously disconnected researchers, civil society organizations, decision-makers, and practitioners working on health equity issues. The researchers will share their findings at national and international seminars, conferences, and workshops. They will be encouraged to publish their findings in journal articles, policy briefs, fact sheets, and news stories. The project will also serve to enhance the Achutha Menon Centre for Health Science Studies' reputation as a centre with expertise on cutting-edge, multidisciplinary research on health inequities in India.

Identificador del Proyecto
107655
Estado de Proyecto
Completed
Fecha de finalización
Duración
48 months
Funcionario del IDRC
Chaitali Sinha
Total del financiamiento
CA$ 544,800.00
Ubicación
India
Programas
Maternal and Child Health
Maternal and Child Health
País de la Institución
India
Líder del proyecto
Dr TK Sundari Ravindran
Institución
The Sree Chitra Tirunal Institute for Medical Sciences and Technology

Publicaciones

National conference on health inequities in India : transformative research for action

National conference on health inequities in India : transformative research for action

Report

The conference sessions included: Structural drivers of health inequities; Health issues and challenges of ‘socially constructed’ vulnerable groups; Studies on the health of Adivasis and tribal communities from different parts of India; Policy interventions for health equity, and; Role of social movements and civil society organizations in addressing health inequity. This report covers the conference and provides summaries and details of sessions. Health systems are dynamic and evolving, and research provides an integral feedback loop into the way health systems are shaped and grow.

Autor(es) : Achutha Menon Centre for Health Science Studies

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Health equity research agenda for India : results of a consultative exercise

Health equity research agenda for India : results of a consultative exercise

Article

The article focuses on a programme in India to launch research that has health equity as a primary principle. Sixty researchers, civil society actors and policy-makers were invited to study gaps in research and to generate a list of broad areas, themes and research questions. An agenda was then consolidated through consultation with experts to identify priorities for the research programme. These are provided in a results section of the article. Health equity is defined as “unjust differences in health between persons of different social groups... [which] can be linked to disadvantages such as poverty, discrimination or lack of access to goods.”

Autor(es) : Ravindran, T.K. Sundari, Seshadri, Tanya

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Bridging inequity in health care

Bridging inequity in health care

Article

The newspaper article covers a conference about priority areas for health equity research processes in India. A consensus-based document involving a wide range of stakeholders was also finalised. Experts say a detailed evaluation of health inequity and vulnerable groups such as tribal and Dalit populations, and fisherfolk is needed. Researchers along with governments have to set priorities together. Absence of solid data obtained through detailed research is resulting in unreasonable or even senseless policies. Despite many health programmes targeted at tribal communities, women and children are still the most vulnerable.

Autor(es) : Assary, Gilvester

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Experts to discuss health equity gap

Experts to discuss health equity gap

Article

The newspaper article covers a conference about priority areas for health equity research processes in India. The primary objective of the conference is to contribute to the advancement of a sound, actionable and measurable evidence base on health inequity in the country. This will help government and civil organizations to prioritize programming towards increasing health equity.

Autor(es) : DC Correspondent

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Historical exclusion, conflict, health systems and Ill-health among tribal communities in India : a synthesis of three studies

Historical exclusion, conflict, health systems and Ill-health among tribal communities in India : a synthesis of three studies

Study

The report aims to consolidate key findings across three studies among tribal populations in India; to understand and explain the diverse nature of health inequities along with processes and historical contexts which create, configure and sustain these inequities; it also questions the existing understanding of health equity. The three research partners explored different facets of health inequities among tribal communities from diverse historical and geographic contexts. A detailed sub-section examines the role of the health system in health inequities experienced by the tribal communities.

Autor(es) : Ravindran, TK Sundari, Khanna, Renu, Liang, Jennifer, Prasad, Vandana, Nandi, Sulakshana, Murugan, Ganapathy, Stanley, Antony, Moosan, Hisham, Baru, Rama, Hegde, Aditi, N., Nakkeeran

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Health inequities in a conflict area : an in-depth qualitative study in Assam

Health inequities in a conflict area : an in-depth qualitative study in Assam

Study

This study is a part of a larger multi-centric study initiated to look at health inequities among tribal populations in India. Using an in-depth qualitative methodology with ethnographic elements, the study focuses on the health of tribal communities in Assam affected by violent conflicts. Disabling poverty follows close on conflict, increasing risk factors significantly while greatly reducing protective factors. This makes vulnerable groups and those with special needs within the family, like women in general, pregnant women, young girls and young children extremely vulnerable to ill-health and ill-being. Poor governance has become the norm in the study area.

Autor(es) : Sarma, Mintu Moni, Liang, Jennifer, Lynrah, Balawansuk, Muchahary, Jauga

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A health equity research agenda for India : results of a priority-setting exercise

A health equity research agenda for India : results of a priority-setting exercise

Brief

This briefing paper sets out a medium-term research agenda for the three-year project. The set of immediate priorities for descriptive research studies calls for a focus on persons living with disabilities, Dalit and Adivasi groups, including within-group variations such as by marital status, caste, tribal status, religion, location, and combinations thereof, and health conditions beyond maternal and child health. The agenda for explanatory research (answering “how” and “why” questions) also calls for multiple axes of vulnerabilities. The third category of research relates to the role of the health system in increasing or mitigating health inquiries.

Autor(es) : Ravindran, Sundari, Seshadri, Tanya

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IDRC supported ‘closing the gap’ project on health equity

IDRC supported ‘closing the gap’ project on health equity

Evaluation

This evaluation report reviews a three-year health equity project in India. The project examined social and economic inequalities, specifically focusing on capturing health and health care inequity. Achievements of the Project are: (i) the collaborative nature of the initiative; (ii) bringing together a diverse range of personnel cutting across public/private institutions, civil society activists, academics from universities and research institutions, policy makers, and (iii) the motivation of students and young researchers. The evaluation provides details of the scope of the project, aims, methodology, outcomes and outputs, covering successes and challenges.

Autor(es) : The Sree Chitra Tirunal Institute for Medical Sciences

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Lenguaje: Inglés