10 results on '"Srivastava, Swati"'
Search Results
2. Implementation of PM-JAY in India: a qualitative study exploring the role of competency, organizational and leadership drivers shaping early roll-out of publicly funded health insurance in three Indian states
- Author
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Srivastava, Swati, Bertone, Maria Paola, Basu, Sharmishtha, De Allegri, Manuela, and Brenner, Stephan
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- 2023
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3. A step closer towards achieving universal health coverage: the role of gender in enrolment in health insurance in India.
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Ziegler, Susanne, Srivastava, Swati, Parmar, Divya, Basu, Sharmishtha, Jain, Nishant, and De Allegri, Manuela
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HEALTH insurance , *SEX discrimination - Abstract
Background: There is limited understanding of how universal health coverage (UHC) schemes such as publicly-funded health insurance (PFHI) benefit women as compared to men. Many of these schemes are gender-neutral in design but given the existing gender inequalities in many societies, their benefits may not be similar for women and men. We contribute to the evidence by conducting a gender analysis of the enrolment of individuals and households in India's national PFHI scheme, Rashtriya Swasthya Bima Yojana (RSBY). Methods: We used data from a cross-sectional household survey on RSBY eligible families across eight Indian states and studied different outcome variables at both the individual and household levels to compare enrolment among women and men. We applied multivariate logistic regressions and controlled for several demographic and socio-economic characteristics. Results: At the individual level, the analysis revealed no substantial differences in enrolment between men and women. Only in one state were women more likely to be enrolled in RSBY than men (AOR: 2.66, 95% CI: 1.32-5.38), and this pattern was linked to their status in the household. At the household level, analyses revealed that female-headed households had a higher likelihood to be enrolled (AOR: 1.36, 95% CI: 1.14-1.62), but not necessarily to have all household members enrolled. Conclusion: Findings are surprising in light of India's well-documented gender bias, permeating different aspects of society, and are most likely an indication of success in designing a policy that did not favour participation by men above women, by mandating spouse enrolment and securing enrolment of up to five family members. Higher enrolment rates among female-headed households are also an indication of women's preferences for investments in health, in the context of a conducive policy environment. Further analyses are needed to examine if once enrolled, women also make use of the scheme benefits to the same extent as men do. India is called upon to capitalise on the achievements of RSBY and apply them to newer schemes such as PM-JAY. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Explaining socioeconomic inequalities in immunisation coverage in India: new insights from the fourth National Family Health Survey (2015–16)
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Srivastava, Swati, Fledderjohann, Jasmine, and Upadhyay, Ashish Kumar
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- 2020
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5. Association between Haemophilus influenza type B (Hib) vaccination and child anthropometric outcomes in Andhra Pradesh (India): Evidence from the Young Lives Study
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Upadhyay, Ashish Kumar and Srivastava, Swati
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- 2017
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6. Awareness of India's national health insurance scheme (PM-JAY): a cross-sectional study across six states.
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Parisi, Diletta, Srivastava, Swati, Parmar, Divya, Strupat, Christoph, Brenner, Stephan, Walsh, Caitlin, Neogi, Rupak, Basu, Sharmishtha, Ziegler, Susanne, Jain, Nishant, and Allegri, Manuela De
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NATIONAL health insurance ,CROSS-sectional method ,AWARENESS ,MIDDLE-income countries ,DEMOGRAPHIC characteristics - Abstract
The literature suggests that a first barrier towards accessing benefits of health insurance in low- and middle-income countries is lack of awareness of one's benefits. Yet, across settings and emerging schemes, limited scientific evidence is available on levels of awareness and their determinants. To fill this gap, we assessed socio-demographic and economic determinants of beneficiaries' awareness of the Pradhan Mantri Jan Arogya Yojana (PM-JAY), the national health insurance scheme launched in India in 2018, and their awareness of own eligibility. We relied on cross-sectional household (HH) survey data collected in six Indian states between 2019 and 2020. Representative data of HHs eligible for PM-JAY from 11 618 respondents (an adult representative from each surveyed HH) were used. We used descriptive statistics and multivariable logistic regression models to explore the association between awareness of PM-JAY and of one's own eligibility and socio-economic and demographic characteristics. About 62% of respondents were aware of PM-JAY, and among the aware, 78% knew that they were eligible for the scheme. Regression analysis confirmed that older respondents with a higher educational level and salaried jobs were more likely to know about PM-JAY. Awareness was lower among respondents from Meghalaya and Tamil Nadu. Respondents from Other Backward Classes, of wealthier socio-economic status or from Meghalaya or Gujarat were more likely to be aware of their eligibility status. Respondents from Chhattisgarh were less likely to know about their eligibility. Our study confirms that while more than half of the eligible population was aware of PM-JAY, considerable efforts are needed to achieve universal awareness. Socio-economic gradients confirm that the more marginalized are still less aware. We recommend implementing tailored, state-specific information dissemination approaches focusing on knowledge of specific scheme features to empower beneficiaries to demand their entitled services. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Association between Haemophilus influenza type B (Hib) vaccination and child anthropometric outcomes in Andhra Pradesh (India): Evidence from the Young Lives Study.
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Upadhyay, Ashish and Srivastava, Swati
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HAEMOPHILUS diseases ,ANTHROPOMETRY ,CAREGIVERS ,CHI-squared test ,CONFIDENCE intervals ,GROWTH disorders ,HAEMOPHILUS influenzae ,LEANNESS ,LONGITUDINAL method ,MULTIVARIATE analysis ,LOGISTIC regression analysis ,ATTITUDES of mothers ,DATA analysis software ,FAMILY attitudes ,DESCRIPTIVE statistics ,ODDS ratio ,THERAPEUTICS ,CHILDREN ,PREVENTION ,VACCINATION - Abstract
Aim: This study aims to examine the association between the Haemophilus influenza type B (Hib) vaccination and child anthropometric outcomes in India. Subject and methods: The study used prospective cohort data from the Young Lives Study (YLS) conducted in Andhra Pradesh, India. The participants were 1,824 children (aged 54-76 months). Stunting and underweight were used to measure the child anthropometric outcomes. The study used the multivariate logistic regression model to examine the association between Hib vaccination and childhood stunting and underweight. Results: The result shows that stunting was lower among children who were vaccinated against Hib as compared to those who were not vaccinated (30.8% versus 39.5%). Similarly, the prevalence of underweight was also lower among the vaccinated children than the non-vaccinated ones (39.1% versus 48.0%). The results of the multivariate logistic regression analysis also suggest that children vaccinated against Hib were significantly less likely to be stunted (AOR: 0.76, 95% CI: 0.61-0.95) and underweight (AOR: 0.79, 95% CI: 0.64-0.98) than children who were not vaccinated against Hib, after controlling potentially confounding variables. Conclusions: The study concludes that vaccination against Hib, in addition to being a major intervention for reducing childhood infectious diseases and mortality, may be considered as a potential tool for reducing the burden of undernutrition in India. Therefore, the inclusion of the Hib vaccine into the Universal Immunization Programme will be helpful in reducing the burden of child malnutrition in India. [ABSTRACT FROM AUTHOR]
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- 2017
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8. Effect of pregnancy intention, postnatal depressive symptoms and social support on early childhood stunting: findings from India.
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Upadhyay, Ashish Kumar and Srivastava, Swati
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STUNTED growth , *CHILDREN , *PREGNANCY , *POSTPARTUM depression , *SOCIAL support , *GROWTH disorders , *UNPLANNED pregnancy , *PSYCHOLOGY of mothers , *MULTIVARIATE analysis , *LOGISTIC regression analysis , *PSYCHOLOGICAL factors , *PSYCHOLOGY - Abstract
Background: According to United Nation Children's Fund, it has been estimated that worldwide about 165 million children were stunted in 2012 and India alone accounts for 38 % of global burden of stunting. This study aims to examine the effect of pregnancy intention and maternal postnatal depressive symptoms on early childhood stunting in India. We hypothesized that effect of pregnancy intention and postnatal depressive symptoms were mediated by social support.Methods: We used data from the first wave of Young Lives Study India. Multivariate logistic regression models (using generalized estimation equation) were used to examine the effect of pregnancy intention and postnatal depressive symptoms on early childhood stunting among children aged 5-21 months. The analysis included 1833 children (out of 2011 sample children) that had complete information on pregnancy intention, maternal depression and other variables.Results: Bivariate results indicate that a higher percent of children born after unintended pregnancy (40 %) were stunted than children of intended pregnancy (26 %). Likewise, the proportion of stunted children was also higher among women with high postnatal depressive symptoms (35 %) than the low level of depression (24 %). Results of multivariate logistic regression model indicate that children born after unintended pregnancy were significantly more likely to be stunted than children born after intended pregnancy (AOR: 1.76, CI: 1.25, 2.48). Similarly, early childhood stunting was also associated with maternal postnatal depressive symptoms (AOR: 1.53, CI: 1.21, 1.92). Moreover, the effect of pregnancy intention and postnatal depressive symptoms on early childhood stunting were not mediated by social support.Conclusions: The findings of this study provide conclusive evidence regarding consequences of pregnancy intention and postnatal depressive symptoms on early childhood stunting in India. Therefore, there is a need to identify the women with unintended pregnancy and incorporate the promotion of mental health into their national reproductive and child health programme. [ABSTRACT FROM AUTHOR]- Published
- 2016
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9. Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India.
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Panda, Rajmohan, Srivastava, Swati, Persai, Divya, Mathur, Manu Raj, Modi, Bhavesh, Dave, Paresh, and Arora, Monika
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SMOKING cessation , *MIDWIVES , *TOBACCO smoke , *DRUG therapy , *SMOKING , *HEALTH - Abstract
Background: The 5As approach is a clinic-based approach and has been developed for primary health care providers who are uniquely positioned to interact with tobacco users. The 5As stands for: Ask about tobacco use at every visit, advise tobacco users to quit, assess readiness to quit, assist quit attempts through counseling and pharmacotherapy and arrange follow-up to prevent relapse. The present study explores whether auxiliary nurse midwives (ANMs) adhere to the 3As from the recommended 5As model for tobacco cessation. Materials and Methods: The study was a cross-sectional study conducted among 501 ANMs in the state of Gujarat and Andhra Pradesh. Descriptive analysis and chi-square test were employed to test the differences in knowledge levels and practices of ANMs. Bivariate logistic regression was used to examine the association between each predictor variable separately and the outcome variables after adjusting for age and location. Data was analyzed using SPSS version 17 software. Results: Majority of ANMs reported that they were aware of respiratory illnesses, tuberculosis, lung and oral cancer as conditions caused due to tobacco consumption. Awareness of adverse reproductive and child health effects associated with tobacco use was very low. Only about one third of respondents informed all patients about harmful effects. Only 16% of ANMs reported having ever received any on-job training related to tobacco control. ANMs who reported receiving training in tobacco control were about two times more likely to provide information on health effects of tobacco as compared to those who reported not being trained in tobacco control in the state of Gujarat. Conclusions: A majority of ANMs ask patients about tobacco use but provide advice only to patients suffering from specific diseases. A context-specific capacity building package needs to be designed to equip ANMs in recommended 5As approach in tobacco cessation. [ABSTRACT FROM AUTHOR]
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- 2015
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10. Correlates of tobacco quit attempts and cessation in the adult population of India: secondary analysis of the Global Adult Tobacco Survey, 2009-10.
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Srivastava, Swati, Malhotra, Sumit, Harries, Anthony D., Lal, Pranay, and Arora, Monika
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PREVENTION of tobacco use , *HEALTH surveys , *HEALTH of adults , *MORTALITY , *SOCIODEMOGRAPHIC factors , *SMOKELESS tobacco - Abstract
Background: Nearly 275 million adults (15 years and above) use tobacco in India, which contributes substantially to potentially preventable morbidity and mortality. There is good evidence from developed country settings that use of tobacco cessation services influences intention to quit, with a higher proportion of attempts being successful in fully quitting. There is little evidence about cessation and quitting behaviour in the Indian context. This study assesses the socio-demographic characteristics and cessation services used by adults i) who attempted to quit smoked and smokeless tobacco and ii) who were successful in quitting. Methods: The study was a cross-sectional secondary data analysis of the Global Adult Tobacco Survey, India, 2009-10. There were 25,175 ever tobacco users aged 21 years and above included in the study. Bivariate and multivariate logistic regression analysis was done to determine associations between socio-demographic variables and cessation services utilized with attempts to quit tobacco and successful quitting. Results: Of the ever tobacco users, 10,513 (42%) made an attempt to quit tobacco, and of these 4,395 (42%) were successful. Significant associations were demonstrated between male gender, increasing educational attainment and higher asset quintiles for both those who attempted to quit and those who were successful. Younger age groups had higher odds of quit attempts than all except the oldest age group, but also had the lowest odds of successful quitting. Heath care provider advice was positively associated with attempts to quit, but both advice and use of cessation aids were not associated with successful quitting. Conclusions: This study provides the first national evidence on the relationships between quitting attempts and successful quitting with socio-demographic characteristics, health care provider advice and use of cessation services. The findings of the study have important implications for scaling up tobacco cessation services in India, and indicate a need to re-examine in greater detail the effects of socio-demographic factors, type of tobacco product used and levels of dependency on quitting. Health system factors such as coverage and accessibility of cessation services, type of service, and its duration and follow up also have to be examined in detail to ascertain effects on quitting behavior. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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