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Artikel: Does membership in women's group advance health and empowerment? Evidence from India.

Saha, Somen

Journal of family medicine and primary care

2021 Band 10, Heft 5, Seite(n) 1829–1834

Abstract: Objectives: Women's self-help groups (SHGs) are actively promoted to advance women's empowerment. SHGs are estimated to cover 112 million households in 2017; more than 90% are women. This article answers if membership in women's group is associated with ...

Abstract	Objectives: Women's self-help groups (SHGs) are actively promoted to advance women's empowerment. SHGs are estimated to cover 112 million households in 2017; more than 90% are women. This article answers if membership in women's group is associated with better health and women's empowerment. Methods: Data on district level health and empowerment indicators were obtained from the fourth round of the National Family Health Survey 2015-16. Data on SHG activity, defined as concentration of SHG at district, was obtained from publicly available data. Twelve indicators were clubbed to measure four domains: maternal health, women's empowerment, child health, and health protection. Binary logistic regressions were computed with education and wealth as control in each model to analyze the change in 12 indicators with the presence of SHG. Results: Districts with higher concentration of SHG members were associated with higher odds of women delivering their babies in an institution (OR: 1.53), taking iron pills, sprinklers, or syrup (OR: 1.11), using family planning methods (OR: 1.03), having knowledge of ovulatory cycle (OR: 1.10), owning house or land (either alone or jointly) (OR: 1.18) and lower odds of women suffering from anemia (OR: 0.92). The odds improve when districts with higher concentration of SHG members were compared with those with lower concentration. Conclusion: Membership in women's group is associated with better health measures as well as asset ownership; higher the concentration of SHG, higher is the impact.
Sprache	Englisch
Erscheinungsdatum	2021-05-31
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_1841_20
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Cost-effectiveness analysis of parenteral iron therapy compared to oral iron supplements in managing iron deficiency anemia among pregnant women.

Saha, Somen / Raval, Devang / Shah, Komal / Saxena, Deepak

Health economics review

2024 Band 14, Heft 1, Seite(n) 3

Abstract: Objective: This study compared the clinical efficacy and cost-effectiveness of parenteral iron, using intravenous iron sucrose (IVIS) therapy against the standard regimen of oral iron (OI) therapy for managing iron-deficiency anemia (IDA) among pregnant ...

Abstract	Objective: This study compared the clinical efficacy and cost-effectiveness of parenteral iron, using intravenous iron sucrose (IVIS) therapy against the standard regimen of oral iron (OI) therapy for managing iron-deficiency anemia (IDA) among pregnant women in a natural primary care setting in Gujarat. Design: A prospective cost-effectiveness study was conducted in natural programme setting wherein 188 pregnant women in their 14 to 18 weeks with moderate and severe anemia women enrolled from two districts of Gujarat, and 142 were followed up until the post-partum phase. The intervention group comprised of 82 participants who were administered IVIS, while the comparison group comprised of 106 participants who were put on OI therapy. Hemoglobin (Hb) levels were measured at periodic intervals, first during enrollment and then during each month of pregnancy period and finally on the 42nd day of the post-natal period. Outcome measures: Change in mean Hb level from baseline was the primary outcome, while the incidence of morbidity and mortality was a secondary outcome measure. Results: The intervention group showed a significant incremental mean change in Hb level from 8.2 g/dl to 11.45 g/dl at the fourth follow-up, while the control group's mean Hb level reduced from 9.99 g/dl to 9.55 g/dl. The discounted cost per beneficiary for IVIS was US$ 87, while that for OI was US$ 49. The incremental cost-effectiveness ratio (ICER) was US$ 9.84, which is 0.049% of India's per capita GDP. Conclusion: IVIS therapy was more clinically effective and cost-effective than OI therapy among pregnant women for management of moderate and severe anemia.
Sprache	Englisch
Erscheinungsdatum	2024-01-02
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	2634483-X
ISSN	2191-1991
ISSN	2191-1991
DOI	10.1186/s13561-023-00474-3
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Does Digitally Enabling Frontline Health Workers Improve Coverage and Quality of Maternal and Child Health Services? Findings From a Mixed Methods Evaluation of TECHO+ in Gujarat.

Saha, Somen / Quazi, Zahiruddin Syed

Frontiers in public health

2022 Band 10, Seite(n) 856561

Abstract: Introduction: Technology Enabled Community Health Operations (TeCHO+) is a mobile and web-based application (app) for frontline health workers. It includes features such as real-time data entry, automated generation of the work plan, and a decision ... ...

Abstract	Introduction: Technology Enabled Community Health Operations (TeCHO+) is a mobile and web-based application (app) for frontline health workers. It includes features such as real-time data entry, automated generation of the work plan, and a decision support system generating alerts for high-risk cases. Since 2019, the programme is implemented across all 33 districts of Gujarat, catering to a population of over 60 million. This study aims to compare changes in the coverage, quality of data reporting maternal and child health services, and time spent in the documentation before and after the introduction of the TeCHO+ app. Methods: To address the study aim, a mixed-method design with a realist evaluation approach was adopted. The survey was conducted with randomly selected beneficiaries from 32 sub-centers across two districts of Gujarat State in India. We surveyed 215 postpartum women and mothers of 102 children at baseline (pre) and 246 postpartum women and mothers of 119 children post 1 year of the TeCHO+ programme intervention in 2020. For qualitative data, total 29 Auxiliary Nurse Midwives, 12 Data Entry Operators and 10 Primary Health Center Medical Officers were purposively selected from 32 PHCs and interviewed to understand the pathways leading to the programme outcome. Results: Following introduction of TeCHO+, the coverage of full antenatal care (ANC; 75.6% vs. 67.9%, Conclusions: The TeCHO+ programme has improved access to care. It impacted both coverage of maternal and child health services and data reporting quality of various maternal and child high-risk conditions. Considering the programme's success, other disease services might be added to the scope of TeCHO+ software.
Mesh-Begriff(e)	Child ; Child Health Services ; Community Health Workers ; Counseling ; Family ; Female ; Humans ; Pregnancy ; Prenatal Care
Sprache	Englisch
Erscheinungsdatum	2022-07-22
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2022.856561
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Prevalence and determinants of (work-related) musculoskeletal disorders among dentists - A cross sectional evaluative study.

Thacker, Hardi / Yasobant, Sandul / Viramgami, Ankit / Saha, Somen

Indian journal of dental research : official publication of Indian Society for Dental Research

2023 Band 34, Heft 1, Seite(n) 24–29

Abstract: Background: Work-related musculoskeletal disorders (WMSDs) are the second most common cause of disability, accounting for 17% of all Years lived with a disability (YLDs) worldwide. Healthcare professionals, especially dentists, are known to be at a ... ...

Abstract	Background: Work-related musculoskeletal disorders (WMSDs) are the second most common cause of disability, accounting for 17% of all Years lived with a disability (YLDs) worldwide. Healthcare professionals, especially dentists, are known to be at a higher risk of WMSDs. Therefore, this study aims to determine the point and period prevalence of WMSDs among dentists and to assess the risk factors for WMSDs, including workstation analysis. Methods: This cross-sectional study was conducted among 120 dentists from three dental colleges in Gujarat (Ahmedabad and Gandhinagar), India. A structured questionnaire was used to collect sociodemographic and occupational history along with pre-validated standardized tools such as the Nordic Musculoskeletal Questionnaire (NMQ), Rapid Entire Body Assessment (REBA) score sheet and Quick Exposure Checklist (QEC). Data analysis was performed using SPSS version 20. Results: The period prevalence of MSDs and WMSDs were 85% and 75.8% respectively, and the point prevalence was 39.2% and 23.3% respectively. Prosthodontists reported the highest prevalence of WMSDs. The neck (64.7%) was the most commonly affected area. A statistically significant result was obtained between MSDs and BMI (P = 0.02), qualification (P = 0.01) and between WMSDs and duration of work in the sitting posture (P = 0.03). Conclusions: The prevalence of both MSDs and WMSDs was found to be high. Dentists with higher BMI, higher qualifications, lack of breaks, having poor workstations and higher REBA and QEC scores, whose job tasks involve continuous inspection, frequent bending of elbow joints, frequent repetitive motions, tasks that require them to reach distances greater than 20 inches and tasks that involve twisting of the waist are at a higher risk of developing MSDs.
Mesh-Begriff(e)	Humans ; Prevalence ; Cross-Sectional Studies ; Occupational Diseases/epidemiology ; Musculoskeletal Diseases/epidemiology ; Risk Factors ; Dentists ; Surveys and Questionnaires
Sprache	Englisch
Erscheinungsdatum	2023-07-07
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	1354886-4
ISSN	1998-3603 ; 0970-9290
ISSN (online)	1998-3603
ISSN	0970-9290
DOI	10.4103/ijdr.ijdr_376_22
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Expanding health coverage in India: role of microfinance-based self-help groups.

Saha, Somen

Global health action

2017 Band 10, Heft 1, Seite(n) 1321272

Abstract: To fulfil its commitment to universal health coverage, it will be necessary for the Indian government to expand access to appropriate and affordable health services. Through the mechanism of microfinance-based self-help groups (SHGs), poor women and ... ...

Abstract	To fulfil its commitment to universal health coverage, it will be necessary for the Indian government to expand access to appropriate and affordable health services. Through the mechanism of microfinance-based self-help groups (SHGs), poor women and their families are provided not only with access to finance to improve their livelihoods but also, in many cases, with a range of basic health services. Governments and non-governmental organisations in India have implemented large-scale programmes for the promotion of SHGs. With 93 million people organised nationally, the SHGs provide an established population base that can potentially be used to extend health coverage. However, the potential for working with SHGs to improve people's access to health services has not been an active part of the national policy discourse..
Mesh-Begriff(e)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Delivery of Health Care/organization & administration ; Female ; Health Services Accessibility/organization & administration ; Healthcare Financing ; Humans ; India ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Self-Help Groups/organization & administration ; Universal Coverage/organization & administration ; Young Adult
Sprache	Englisch
Erscheinungsdatum	2017-05-30
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2540569-X
ISSN	1654-9880 ; 1654-9716
ISSN (online)	1654-9880
ISSN	1654-9716
DOI	10.1080/16549716.2017.1321272
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Addressing determinants of malnutrition: A protocol of project Tushti.

Saha, Somen / Saxena, Deepak / Puwar, Tapasvi / Pandya, Apurvakumar

Journal of family medicine and primary care

2022 Band 11, Heft 11, Seite(n) 6745–6751

Abstract: Background: Improved nutrition situation analysis can increase the understanding of the likely magnitude and main causes of the nutrient gap among children less than 2 years of age. The present study was aimed at assessing nutritional status and factors ...

Abstract	Background: Improved nutrition situation analysis can increase the understanding of the likely magnitude and main causes of the nutrient gap among children less than 2 years of age. The present study was aimed at assessing nutritional status and factors related to it in children less than 2 years of age in the Devbhumi Dwarka District of Gujarat, India. Methods: A descriptive cross-sectional study was conducted. The sample size for a population-based survey was calculated using Open Epi and considering 20% non-response rate. Sample size for the study was 1,200 but sample size achieved was 1,301. Chi-square analyses were performed to identify significant determinants of under-nutrition separately for stunting, wasting, and underweight. Results: The prevalence of wasting, underweight, and stunting was 14, 17, and 32%, respectively. Prevalence of low birth weight was recorded as 14% in the district. The overall prevalence of overweight was 20% and 6% as per weight for height and weight for age criteria, respectively. The proportion of children with exclusive breastfeeding observed to be decreasing with increasing age from birth to 6 months; 70% of children were exclusively breastfeed at the age of 6 months compared to 84% at their births. Chi-square analyses revealed that parity and spacing as significant determinants of under-nutrition in children less than 2 years in the district. Conclusion: In Devbhumi Dwarka, burden of malnutrition was recorded. Maternal literacy, parity, and spacing emerged as significant determinants of under-nutrition in children less than 2 years in the district. Multipronged and convergence approach is needed to combat menace of child malnutrition.
Sprache	Englisch
Erscheinungsdatum	2022-12-16
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_925_21
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Yoga, immunity and COVID-19: A scoping review.

Shah, Komal / Adhikari, Chiranjivi / Saha, Somen / Saxena, Deepak

Journal of family medicine and primary care

2022 Band 11, Heft 5, Seite(n) 1683–1701

Abstract: Yoga is recognized and practiced for different levels of prevention since antiquity. The current scoping review aimed to identify and document the evidence reporting the effect of yoga interventions on immunity against COVID-19 infection. Three databases- ...

Abstract	Yoga is recognized and practiced for different levels of prevention since antiquity. The current scoping review aimed to identify and document the evidence reporting the effect of yoga interventions on immunity against COVID-19 infection. Three databases--PubMed, Cochrane, and Google Scholar, were searched to identify eligible studies. Articles published in English after 2010 and assessing the impact of any form of yoga (such as yogasanas, meditations, or pranayamas) on immunological markers were included in the review. The studies without information of the intervention on immunity markers, and experience sharing reviews were excluded. The search yielded 45 eligible articles with majority of the studies being published from the USA and India. Most of the studies were randomized controlled trials, enrolling the adult population with a specific focus on diseases like HIV, cancer, and heart failure. It was observed that a variety of yoga interventions along with meditation and pranayama, in different combinations were used by the authors. However, all these studies unanimously reported improvement in immunological profile (indicated by improved biochemical markers) of an individual (irrespective of disease state and type) with yoga. Moreover, the beneficial effects of these traditional Indian interventions were also found to have a positive impact on overall physical and physiological wellbeing and quality of life. Findings from the existing literature indicate that the practice of yoga has the potential to strengthen cell-mediated immunity and hence could be used as an effective preventive measure against COVID-19 where immunity plays a critical role.
Sprache	Englisch
Erscheinungsdatum	2022-05-14
Erscheinungsland	India
Dokumenttyp	Journal Article ; Review
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_2182_21
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Cost-Effectiveness of mHealth Intervention (TeCHO+) for Improving Maternal and Child Health Indicators in Gujarat, India.

Saha, Somen / Pandya, Apurvakumar / Raval, Devang / Saxena, Deepak

Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine

2022 Band 47, Heft 4, Seite(n) 549–554

Abstract: Background: Gujarat has implemented an mHealth program, technology for community health operations-plus (TeCHO+) in 2019. TeCHO+ is a mobile and web-based application that essentially enables data entry by the frontline workers providing service at the ... ...

Abstract	Background: Gujarat has implemented an mHealth program, technology for community health operations-plus (TeCHO+) in 2019. TeCHO+ is a mobile and web-based application that essentially enables data entry by the frontline workers providing service at the time and place of service delivery to improve the coverage and data quality. It also facilitates early identification of morbid condition and timely treatment. This study assessed the cost-effectiveness of TeCHO+ program in Gujarat. Materials and methods: The study compared key program outcome indicators before and after the launch of TeCHO+ program. As the program was launched across the State, eMamta, the previous version of mother and child tracking system was used for comparison. A decision tree was parameterized to estimate change in disability-adjusted life year (DALY) and cost as a result of implementing TeCHO+ from a health system perspective. Results: TeCHO+ incurred a cost of Rs. 2,624 per beneficiary against Rs. 1,075 per beneficiary under the previous eMamta program. TeCHO+ has resulted in significant DALY averted through early identification of high-risk cases both among pregnant women and children. Overall, cost-effectiveness analysis indicated that TeCHO+ incurred an incremental cost of Rs. 1802.84 per DALY averted, which is 1.19% of the GDP per capita of India (year 2020). Conclusion: This study concludes that TeCHO+ is cost-effective for mother and child care and can be considered for replicating.
Sprache	Englisch
Erscheinungsdatum	2022-12-14
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	2085330-0
ISSN	1998-3581 ; 0970-0218
ISSN (online)	1998-3581
ISSN	0970-0218
DOI	10.4103/ijcm.ijcm_192_22
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: 'More health for the money': an analytical framework for access to health care through microfinance and savings groups.

Saha, Somen

Community development journal

2014 Band 49, Heft 4, Seite(n) 618–630

Abstract: The main contributors to inequities in health relates to widespread poverty. Health cannot be achieved without addressing the social determinants of health, and the answer does not lie in the health sector alone. One of the potential pathways to address ... ...

Abstract	The main contributors to inequities in health relates to widespread poverty. Health cannot be achieved without addressing the social determinants of health, and the answer does not lie in the health sector alone. One of the potential pathways to address vulnerabilities linked to poverty, social exclusion, and empowerment of women is aligning health programmes with empowerment interventions linked to access to capital through microfinance and self-help groups. This paper presents a framework to analyse combined health and financial interventions through microfinance programmes in reducing barriers to access health care. If properly designed and ethically managed such integrated programmes can provide more health for the money spent on health care.
Sprache	Englisch
Erscheinungsdatum	2014-12-04
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	2007089-5
ISSN	1468-2656 ; 0010-3802
ISSN (online)	1468-2656
ISSN	0010-3802
DOI	10.1093/cdj/bsu037
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Nutritional Status of Children Under Two Years of Age in the Devbhumi Dwarka District, Gujarat: A Descriptive Cross-Sectional Study.

Saha, Somen / Pandya, Apurvakumar / Raval, Devang / Patil, Manoj S

Cureus

2022 Band 14, Heft 7, Seite(n) e27445

Abstract: Improvements in the analysis of child nutrition status can be helpful in increasing the understanding of the magnitude and critical causes of undernutrition. The present study aimed to assess the nutritional status and related factors in children under ... ...

Abstract	Improvements in the analysis of child nutrition status can be helpful in increasing the understanding of the magnitude and critical causes of undernutrition. The present study aimed to assess the nutritional status and related factors in children under two years of age in the Devbhumi Dwarka District of Gujarat, India. A descriptive cross-sectional study was conducted for which the sample size was calculated using Open Epi and considering a 20% non-response rate. The sample size for the study was 1200, but the achieved sample size was 1301. Statistical analysis was performed to identify significant determinants of under-nutrition separately for stunting, wasting, and underweight. The prevalence of wasting, underweight, and stunting was 14%, 17%, and 32%, respectively. Prevalence of low birth weight was recorded as 14% in the district. The overall prevalence of overweight was 20% and 6% as per weight for height and weight for age criteria, respectively. The proportion of children with exclusive breastfeeding was observed to be decreasing with increasing age from birth to six months. About 70% of children were exclusively breastfed at the age of six months. Chi-square analyses revealed that parity and spacing are significant determinants of under-nutrition in children under two years in the Devbhumi Dwarka District. A multipronged and convergence approach is needed to combat the menace of child malnutrition.
Sprache	Englisch
Erscheinungsdatum	2022-07-29
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.27445
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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