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Surveillance of Chronic Diseases: Challenges and Strategies for India

dc.contributor.authorUdaya S Mishra
dc.contributor.authorS Irudaya Rajan
dc.contributor.authorWilliam Joe
dc.contributor.authorAli Mehdi
dc.description.abstractThis 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.
dc.publisherIndian Council for Research on International Economic Relations
dc.titleSurveillance of Chronic Diseases: Challenges and Strategies for India
dc.typeWorking Papers
dc.subject.expertHealthcare Financing
dc.subject.expertFinancial Security
dc.subject.expertFinancial Assistance
dc.subject.expertAged Health
dc.subject.expertHealthcare System
dc.subject.expertHealthcare Policy
dc.subject.expertAccess to Healthcare
dc.subject.expertPublic Expenditure
dc.subject.expertInsurance Companies
dc.subject.expertFiscal Administration
dc.subject.expertMedical Costs
dc.subject.adbAid Financing
dc.subject.adbPension Funds
dc.subject.adbMedical Costs
dc.subject.adbHealth Costs
dc.subject.adbRural Population
dc.subject.adbUrban Population
dc.subject.adbPublic Health Finance
dc.subject.adbHealth Financing
dc.subject.adbHealthcare Financing
dc.subject.adbFinancial Policy
dc.subject.adbHealth Sector Reform
dc.subject.adbHealthcare Cost Control
dc.subject.naturalMultiemployer pension plans
dc.subject.naturalKeogh plans
dc.subject.naturalIndividual retirement accounts
dc.subject.naturalPension plans
dc.subject.naturalEmployee pension trusts
dc.subject.naturalPension trusts
dc.subject.naturalNursing homes
dc.subject.naturalLong-term care facilities
dc.subject.naturalAccounts payable
dc.subject.naturalInsurance carriers
dc.title.seriesICRIER Working Paper
dc.title.volumeNo. 322
dc.contributor.imprintIndian Council for Research on International Economic Relations
oar.adminregionSouth Asia Region
oar.authorMishra, Udaya S
oar.authorRajan, S Irudaya
oar.authorJoe, William
oar.authorMehdi, Ali

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