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    Surveillance of Chronic Diseases: Challenges and Strategies for India

    Mishra, Udaya S; Rajan, S Irudaya; Joe, William; Mehdi, Ali | May 2016
    Abstract
    This paper describes the status, challenges and scope for strengthening surveillance of chronic disease risk factors, morbidities and mortality in India. We draw upon the surveillance experience of four selected States of India namely Uttar Pradesh, Rajasthan, Kerala and Tamil Nadu to understand key requirements in relation to financing, infrastructure, human resources and governance. The public health system is grappling with resource constraints but there is room for more efforts to undertake systematic population-based chronic disease surveillance in India. Although there are no immediate policy goals to ensure population-based screening, opportunistic screening of selected chronic diseases is an important strategy under the National Programme for Prevention and Control of Diabetes, Cardiovascular diseases and Stroke (NPCDCS). However, surveillance activities under this programme are performing suboptimally due to issues related to funding constraints, operational guidelines and inadequate clinical, technical and managerial staff. It is apparent that public health system should devote additional resources towards active population-based surveillance. Besides financing, there is a need to develop institutional mechanisms for engagement of adequate human resources for surveillance and disease management. Engagement of AYUSH and community health workers (ASHAs or others) is identified as reasonable options but would require sound incentive mechanism to ensure good coverage and programme outreach. Furthermore, local support, both social and political, is critical to create a conducive environment to contact beneficiaries and for information recording. In this endeavour, private sector is identified as a potential partner that needs enabling environment to come up with services under PPP.
    Citation
    Mishra, Udaya S; Rajan, S Irudaya; Joe, William; Mehdi, Ali. 2016. Surveillance of Chronic Diseases: Challenges and Strategies for India. © Indian Council for Research on International Economic Relations. http://hdl.handle.net/11540/6522.
    Keywords
    Good Governance
    Governance Approach
    Governance Models
    World Health Organization
    Quality of Health Care
    Public Health Finance
    Private Health Care
    Healthier Families
    Nutrition and Health Care
    Health Statistics
    Health Objectives
    Health Issues
    Health Care Cost Control
    Political Leadership
    Public Administration
    Traditional Medicine
    Medical Statistics
    Medical Services
    Medical Costs
    Health Costs
    Medical Aspects
    Child Nutrition
    Disease Control
    Diseases
    Civil government
    Common good
    Federal government
    Delivery of government services
    Government missions
    Taxation
    Public health records
    Cost of medical care
    Nutrition policy
    Health status indicators
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    Citable URI
    http://hdl.handle.net/11540/6522
    Metadata
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    Working_Paper_322.pdf (1.613Mb)
    Author
    Mishra, Udaya S
    Rajan, S Irudaya
    Joe, William
    Mehdi, Ali
    Theme
    Governance
    Health
     
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise