Vikash R KeshriState Health Resource Centre Chhattisgarh India
Vikash R Keshri
MBBS MD PhD
Collaborative research on Health Policy and Systems Research, Human Resources for Health, Community Process
About
47
Publications
117,173
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Introduction
Dedicated public health professional with 15 years of experience driving impactful change in India's health landscape. Proven leadership in spearheading large-scale projects within community and health systems settings, influencing provincial and national policies. Accomplished advocate, instrumental in achieving substantial policy change at state and national levels. Recognized for high-quality research, numerous cited publications, more than 100,000 reads of research papers.
Additional affiliations
Education
February 2020 - November 2023
UNSW Sydney
Field of study
- Global Public Health
March 2016 - May 2016
June 2012 - August 2013
Publications
Publications (47)
Background: Regulation is a critical function in the governance of health workforces. In many countries, regulatory councils for health professionals guide the development and implementation of health workforce policy, but struggle to perform their responsibilities, particularly in low-and middle-income countries (LMICs). Few studies have analyzed...
Globally, burns are one of the major causes of disability, with more than 8 million disability-adjusted life-years (DALYs). The burden of burns falls disproportionately on low-income and middle-income countries (LMICs).1 A trend of increased incidence of burns is observed in south Asia during the festive season of Diwali, celebrated each year in th...
Background
Burn injury is associated with significant mortality and disability. Resilient and responsive health systems are needed for optimal response and care for people who sustain burn injuries. However, the extent of health systems research (HSR) in burn care is unknown. This review aimed to systematically map the global HSR related to burn ca...
Delivering specialised care for major burns requires a multidisciplinary health workforce. While health systems ‘hardware’ issues, such as shortages of the healthcare workforce and training gaps in burn care are widely acknowledged, there is limited evidence around the systems ‘software’ aspects, such as interest, power dynamics, and relationships...
There is growing scholarly interest in what leads to global or national prioritisation of specific health issues. By retrospectively analysing agenda-setting for India’s national burn program, this study aimed to better understand how the agenda-setting process influenced its design, implementation, and performance. We conducted document review and...
Background
The policy attention to primary health care has seen a global upswing in recent years, including in India. Earlier assessments had shown that a very small proportion of Indian population used the government primary health facilities. Starting in 2018, Indian government has established more than 100,000 Health and Wellness Centres (HWCs)...
Introduction
Health policies reflect the ideas and interests of the actors involved. The Indian Government constituted many health committees for policy recommendations on myriad issues concerning public health, ranging from tribal health to drug regulation. However, little is known about their composition and backgrounds. We reviewed these committ...
Burn injuries are a significant public health issue in India, characterised by a high burden of mortality and disability. However, the health systems and policy responses to this problem have been limited. This thesis uses four methodological approaches to investigate India's health policy and systems responses to burn care. 1) An evidence gap map...
Background Anaemia is a major health problem worldwide. Global estimates of anaemia burden are crucial for
developing appropriate interventions to meet current international targets for disease mitigation. We describe the
prevalence, years lived with disability, and trends of anaemia and its underlying causes in 204 countries and territories.
Metho...
Background
Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021.
Methods
Population-based studies from 1980 to 2019 identified i...
Background: Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021.
Methods: Population-based studies from 1980 to 2019 identified...
In their paper, Tama and colleagues observe that one key challenge in a pilot, multi-component intervention to strengthen health facility regulation was the reaction from health facility owners and providers to regulatory processes. In this commentary, we propose that future research and action on health facility regulation in low-and middle-income...
Background
India has one of the highest burden of burns. The health systems response to burn care is patchy and highly influenced by social determinants. Delay in access to acute care and rehabilitation adversely affects recovery outcomes. There is limited evidence on underlying factors for delays in care. In this study, we aim to explore patients’...
I read the editorial “Ethics regulation by National Medical Commission: No reason for hope” by Amar Jesani with keen interest [1]. The article raises many pertinent issues which need urgent policy attention. Institutions and governance for regulating medical education and practice in India carry a significant colonial legacy of British rule [2]. No...
Global investments in pandemic preparedness and COVID-19: development assistance and domestic spending on health between 1990 and 2026
Global Burden of Disease 2021 Health Financing Collaborator Network †
Show footnotesOpen AccessPublished:January 24, 2023DOI:https://doi.org/10.1016/S2214-109X(23)00007-4
Summary
Background
The COVID-19 pandemic h...
Access the full text version of the article here: https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00098-X/fulltext
Background
India has one of the highest burdens of burn incidence, mortality, and disability. Lack of epidemiological data is one of the major bottlenecks for effective planning for burns care. The National Program for Prevention and Management of Burn Injury in India mandates establishing a burn registry.
Methods
We implemented a pilot prospectiv...
Background
Burn care in India is limited by multiple constraints. The COVID-19 pandemic and the containment measures restricted access to non-COVID emergency conditions, including burns. The aim of this study was to explore the impact of the pandemic on burn care in India.
Methods
Using the qualitative exploratory methods, we conducted in-depth in...
Effective response to the COVID-19 pandemic is dependent on individual understanding of the disease and compliance to prevention measures. Early media depiction of health information about COVID-19 may influence public perceptions and behaviour. Media should ensure coverage is relevant, timely and actionable to encourage individuals to respond appr...
Background:
A network of first referral unit (FRU) is set up to improve the availability and accessibility of comprehensive emergency obstetric care (CEmOC) services. To fill the gap of the scarcity of obstetricians and anesthetists at FRU, two short-term trainings in CEmOC and anesthesia were started for in-service medical officers.
Objective:...
This study was designed to provide policymakers with new insights into the efficiency of the public
health system in four districts of Bihar.
We hope that these insights into the efficiency of the public health system in four districts of Bihar
will not only prove useful to policymaking, but will also inform broader efforts to mitigate factors...
Background
Significant gap exists in health research output globally, both in terms of geographic distribution and priorities. In India, wide inter-state disparity in health research output is reported and eight large states with a combined population of nearly half of India contribute to less than one-tenth of total research output. Bihar is one o...
In this commentary , we have discussed the recent reform in medical education regualtion in India. Analysing further, we have discussed the implications of this reform on overall health policy and universal health coverage landscape in India. We have argued how recent reform supplement to overall health policy direction and can actually promote enh...
Using evidences from the Sample Registration System and the third and fourth rounds of the National Family Health Survey, this article shows that the fertility rate continues to be high in the Hindi heartland of the country, and that too among educated women. It also proposes some plausible hypotheses in this regard, which would require validation...
Health economics is a sub-discipline of economics that has significant relevance to public health. The academic discipline of health economics has not evolved in India till now. Since India became independent country, the public health practice in India has revolved largely around public health systems; the private health system has functioned in p...
Background: The movement for Universal Health Coverage (UHC) is gaining momentum. Health insurance is emerging as one of the favoured means to finance healthcare. The union government of India also started a health insurance scheme in 2018 in the spirit to leap towards UHC. Therefore, this study was carried out with the following objectives. To und...
Universal Health Coverage (UHC) is one of the targets of the Sustainable Development Goals. Many low and middle-income countries (LMICs) are now aspiring to achieve UHC. Many of these countries have already introduced a tax-based health insurance scheme. In 2018, the Union Government of India (GoI) also introduced a mammoth health insurance scheme...
Abstract
Purpose:
Bihar is one of the resource-constrained state in India. Health systems in Bihar is mixed and complex. Majority of people access health care from the private sector, although the cost is much higher. State government is trying to regulate the private sector by bringing policies aimed mainly at administrative control and barely at...
Abstract
Purpose:
Bihar is one of the resource-constrained state in India. Health systems in Bihar is mixed and complex. Majority of people access health care from the private sector, although the cost is much higher. State government is trying to regulate the private sector by bringing policies aimed mainly at administrative control and barely at...
Based on our review, we propose that health sector regulation in all Indian States should be contextualized considering larger political economy. In Bihar, the possible approach towards larger stewardship role of government for health care can be multi-dimensional. Two dimensions which require immediate attention are: a). Government must continue t...
Background.:
Acute encephalitis syndrome (AES) is a clinical condition, of which the most common cause is Japanese encephalitis (JE). Though there is deficiency of data on AES and JE from Bihar, the state ranks third in the reporting of JE cases after Uttar Pradesh and Assam. We aimed to assess the status and trends of AES and JE cases in Bihar an...
The current study was carried out to assess the status and trends of AES and JE in Bihar state and to know the status of districts in the disease, so to come up with the recommendations for its prevention and control.
In this short blog I hope to explain how the two-week KEYSTONE course (23 February-6 March) in Delhi has transformed me by giving me a much wider field of vision. In these two weeks, it’s safe to say that I was pretty much “reborn” as a health policy and systems researcher, getting to know plenty of new lenses to understand the world and health sys...
Introduction:
Government of India launched reproductive, maternal, neonatal, child and adolescent (RMNCH+A) strategy in 2013, shifting focus from state to districts. There are 17 High Priority District (HPD) in Madhya Pradesh, India. As par policy decision, Health Management Information System (HMIS) based data is to be used to monitor progress aga...
Leprosy is mainly a chronic infectious disease caused by Mycobacterium leprae. The disease mainly affects the skin, the peripheral nerves, mucosa of the upper respiratory tract and eyes. Though the target of leprosy elimination was achieved at national level in 2006 even then a large proportion of leprosy cases reported globally still constitute fr...
Introduction:
Availability, accessibility and quality of Emergency Obstetric Care (EmOC) services are most important interventions required to reduce maternal mortality due to complications that arise during pregnancy and childbirth. In India strategy to provide the EmOC at lowest level is through the network of First Referral Units (FRUs). Key det...
Questions
Questions (2)
I am working on a qualitative thematic analysis and intend to use a mix of inductive and deductive logic for final analysis. Would appreciate your feedback on how to best combine them? any lik to resources would be great.
Hi, I am conducting an exploratory research with qualitative in-depth interview approach to understand the impact of COVID_19 in health systems response to burn care in India. Since, this is a qualitative research with exploratory orientation, do I need to a opt for any theoritical framework, if yes then which theoritical framework fits into this question. You are also welcome to suggest suitable resource to guide me selecting best theorotical framework.
thank you