7 results on '"Anjana Sankhil Lamkang"'
Search Results
2. Over-the-Counter Sale of Antibiotics in India: A Qualitative Study of Providers’ Perspectives across Two States
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Anita Kotwani, Jyoti Joshi, and Anjana Sankhil Lamkang
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antibiotics ,antimicrobial resistance ,dispenser ,informal dispenser ,informal provider ,NAP-AMR ,Therapeutics. Pharmacology ,RM1-950 - Abstract
India has one of the highest rates of antimicrobial resistance (AMR) worldwide. Despite being prescription drugs, antibiotics are commonly available over-the-counter (OTC) at retail pharmacies. We aimed to gain insight into the OTC sale of antibiotics at retail pharmacies and to elucidate its underlying drivers. We conducted face-to-face, in-depth interviews using convenience sampling with 22 pharmacists and 14 informal dispensers from 36 retail pharmacies across two Indian states (Haryana and Telangana). Thematic analysis revealed that antibiotics were often dispensed OTC for conditions e.g., fever, cough and cold, and acute diarrhea, which are typically viral and self-limiting. Both Access and Watch groups of antibiotics were dispensed for 1–2 days. Respondents had poor knowledge regarding AMR and shifted the blame for OTC practices for antibiotics onto the government, prescribers, informal providers, cross practice by alternative medicine practitioners, and consumer demand. Pharmacists suggested the main drivers for underlying OTC dispensing were commercial interests, poor access to public healthcare, economic and time constraints among consumers, lack of stringent regulations, and scanty inspections. Therefore, a comprehensive strategy which is well aligned with activities under the National Action Plan-AMR, including stewardship efforts targeting pharmacists and evidence-based targeted awareness campaigns for all stakeholders, is required to curb the inappropriate use of antibiotics.
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- 2021
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3. Gender gaps in cognitive and noncognitive skills among adolescents in India
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Justine Hervé, Subha Mani, Jere R. Behrman, Arindam Nandi, Anjana Sankhil Lamkang, and Ramanan Laxminarayan
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Organizational Behavior and Human Resource Management ,Economics and Econometrics - Published
- 2022
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4. Assessing Quality of Life of People Living with HIV/ AIDS in Manipur: An In-Depth Analysis
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Anjana Sankhil Lamkang and Policy (Cddep), New Delhi, India
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Gerontology ,business.industry ,Regression analysis ,Logistic regression ,medicine.disease ,Affect (psychology) ,humanities ,Infectious Diseases ,Quality of life ,Acquired immunodeficiency syndrome (AIDS) ,Health care ,Medicine ,Marital status ,business ,Disease burden - Abstract
Introduction: The paper attempts to assess quality of life (QOL) outcomes at facet level and the factors affecting it to gain micro level understanding of the disease burden and to highlight key problematic areas faced by people living with HIV/AIDS (PLHA) in Manipur, India. Materials and Methods: A cross-sectional study with 200 PLHA (≥18 years of age) were recruited from 4 NGO centers in Imphal and Chandel using WHOQOL-HIV instrument. ANOVA and logistic regression tests were performed to compare and predict factors influencing QoL outcomes respectively. Results: In the ANOVA model, Physical and social relationships domains (
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- 2019
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5. Gender Gaps in Cognitive and Noncognitive Skills: Roles of Ses and Gender Attitudes
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Justine Herve, Subha Mani, Jere Behrman, Arindam Nandi, Anjana Sankhil Lamkang, and Ramanan Laxminarayan
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- 2021
- Full Text
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6. Results From India’s 2016 Report Card on Physical Activity for Children and Youth
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Shifalika Goenka, Tarun R Katapally, Anjana Sankhil Lamkang, Ghattu V. Krishnaveni, Manu Raj, Subha Mani, Kathleen McNutt, Sarah H Kehoe, and Jasmin Bhawra
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Gerontology ,medicine.medical_specialty ,Adolescent ,Physical fitness ,Adolescent Health ,India ,Poison control ,Health Promotion ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Active living ,medicine ,Health Status Indicators ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Child ,Exercise ,Health communication ,business.industry ,Health Policy ,Public health ,Child Health ,030229 sport sciences ,Sedentary Behavior ,business ,Report card - Abstract
Background:Physical inactivity in children and youth in India is a major public health problem. The 2016 Indian Report Card on Physical Activity for Children and Youth has been conceptualized to highlight this epidemic by appraising behaviors, contexts, strategies, and investments related to physical activity of Indian children and youth.Methods:An international research collaboration resulted in the formation of a Research Working Group (RWG). RWG determined key indicators; identified, synthesized, and analyzed existing evidence; developed criteria for assigning grades; and, finally, assigned grades to indicators based on consensus.Results:Overall Physical Activity Levels were assigned a grade of C-. Active Transportation and Sedentary Behaviors were both assigned a grade of C. Government Strategies and Investments was assigned a grade of D. Six other indicators, including the country-specific indicator Physical Fitness, were graded as INC (incomplete) due to the lack of nationally representative evidence.Conclusions:Based on existing evidence, it appears that most Indian children do not achieve recommended levels of physical activity and spend most of their day in sedentary pursuits. The report card identifies gaps in both investments and research that need to be addressed before understanding the complete picture of active living in children and youth in India.
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- 2016
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7. Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus approach
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Ramanan Laxminarayan, Anjana Sankhil Lamkang, Marc Mendelson, Anna Trett, Sylvia Lemos Hinrichsen, Erika Vlieghe, Dilip Nathwani, Mei Zeng, Heiman F. L. Wertheim, Arjun Srinivasan, Sumanth Gandra, Gabriel Levy-Hara, Visanu Thamlikitkul, Francesca Binda, Stéphan Juergen Harbarth, Revathi Gunturu, Debra A. Goff, Karin A Thursky, Céline Pulcini, Sanjeev Singh, Esmita Charani, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), University of Milan, Center for Disease Dynamics, Economics & Policy (CDDEP), Imperial College London, Ohio State University [Columbus] (OSU), Geneva University Hospitals and Geneva University, Universidade Federal de Pernambuco [Recife] (UFPE), Hospital Carlos G. Durand, University of Cape Town, Ninewells Hospital and Medical School [Dundee], Aga Khan University Hospital (AKUH), Nairobi, Amrita Institute of Medical Sciences and Research Center, Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centers for Disease Control and Prevention [Atlanta] (CDC), Centers for Disease Control and Prevention, Mahidol University [Bangkok], The Royal Melbourne Hospital, Antwerp University Hospital [Edegem] (UZA), Radboudumc Alzheimer Center, Radboud University Medical Center [Nijmegen], and Fudan University [Shanghai]
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0301 basic medicine ,Microbiology (medical) ,Consensus ,030106 microbiology ,MEDLINE ,Antimicrobial stewardship ,Global Health ,Antimicrobial resistance ,03 medical and health sciences ,Hospital ,0302 clinical medicine ,Resource (project management) ,Low-income country ,Surveys and Questionnaires ,Relevance (information retrieval) ,030212 general & internal medicine ,Poverty ,Biology ,ComputingMilieux_MISCELLANEOUS ,Medical education ,Australia ,General Medicine ,Hospitals ,Checklist ,Anti-Bacterial Agents ,3. Good health ,Europe ,Core (game theory) ,Infectious Diseases ,Middle-income country ,North America ,Healthcare settings ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Human medicine ,Stewardship ,Psychology - Abstract
Objectives: With increasing global interest in hospital antimicrobial stewardship (AMS) programmes, there is a strong demand for core elements of AMS to be clearly defined on the basis of principles of effectiveness and affordability. To date, efforts to identify such core elements have been limited to Europe, Australia, and North America. The aim of this study was to develop a set of core elements and their related checklist items for AMS programmes that should be present in all hospitals worldwide, regardless of resource availability. Methods: A literature review was performed by searching Medline and relevant websites to retrieve a list of core elements and items that could have global relevance. These core elements and items were evaluated by an international group of AMS experts using a structured modified Delphi consensus procedure, using two-phased online in-depth questionnaires. Results: The literature review identified seven core elements and their related 29 checklist items from 48 references. Fifteen experts from 13 countries in six continents participated in the consensus procedure. Ultimately, all seven core elements were retained, as well as 28 of the initial checklist items plus one that was newly suggested, all with >= 80% agreement; 20 elements and items were rephrased. Conclusions: This consensus on core elements for hospital AMS programmes is relevant to both high- and low-to-middle-income countries and could facilitate the development of national AMS stewardship guidelines and adoption by healthcare settings worldwide. (C) 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
- Published
- 2019
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