Sherin Raj T.P

• Doctor of Philosophy
• Research Officer at National Institute of Health and Family Wefare

The Ministry of Health and Family Welfare, Government of India launched flagship programme "Mission Indradhanush" in December 2014 and further in 2017 launched Intensified Mission Indradhanush aimedat fully immunizing more than 90 per cent of new-borns by 2020. A study was conducted in Gurgram District of Haryana to assess process adopted and opini...

Background: The Health Planning Process under National Health Mission (NHM) is participatory in nature and the State Programme Implementation Plan (PIP) is an aggregation of District PIPs which is examined and approved by the National Programme Coordination Committee (NPCC), Ministry of Health and Family Welfare, Government of India. Many times th...

Background: Recently released Global Hunger Index has put India’s effort in the field of nutrition in a conundrum. Despite significant steps taken to improve nutrition, India is grappling with double edged sword of Malnutrition. Malnutrition, under or over, has affected many countries across the globe. Objective: This article explores the ground re...

Introduction: The AYUSH system of medicine is effective in the case management of non-communicable diseases (NCDs). The Ministry of Health and Family Welfare launched a pilot program in 2016 integrating AYUSH with the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke for community-based screening...

Background:Menstruation is an integral part and natural process among women and it involved many myths, customs and misconceptions in India.Menstrual Hygiene Management (MHM) is a problem for young girls in India. Along with basic sanitation facilities, young girls and women need access to clean and soft, absorbent sanitary products for a long run...

Introduction Life Style has a strong association with the development of many of the Non-communicable Diseases (NCDs). WHO identified diabetes, cardiovascular disease and stroke, cancer and chronic lung diseases as major NCDs. In India, deaths from NCDs are projected to almost double from about 4.5 million in 1998 to 8 million by the year 2020. The...

Background: The steadily increase in prevalence of overweight/obesity coexisted with under-nutrition can pose a major public health problem among adult populations in most of developing countries. In India, the prevalence of overweight/obesity is increasing rapidly, particularly among men. So an attempt was made to study the regional disparities in...

Introduction: Menstrual Hygiene Management (MHM) is a serious issue for young girls in India.Objective: The study examines the regional disparities in menstrual hygiene practices among young women in India.Methodology: Data collected from the fourth round of National Family Health Survey(NFHS-4), conducted from 2015 to 2016 has been used for this s...

Introduction: People living with Chronic Viral Hepatitis in India often lack awareness about risk factors and prevention. Objective: Objective of this article is to assess the health seeking behaviour of viral hepatitis infected patients attending super specialty hospital in Delhi. Methods: Total 389 patients attending a super specialty hospital in...

The government of India, (Ministry of Health and Family Welfare) launched Ayushmam Bharat, a flagship scheme of government of India on 23rd September, 2018. Also known as Ayushman Bharat National Health Protection Scheme, that aims to provide free access of health insurance coverage to deprived families of India. It is provided with a budget of 808...

Introduction: People living with chronic viral hepatitis in India often lack awareness on risk factors and prevention. Moreover, due to fear of stigma and discrimination, they often delay appropriate and timely treatment, resulting in chronic treatment and impoverishment. The objective of this study is to assess knowledge, awareness, and prevention...

Effective Menstrual Hygiene Management (MHM) is fundamental to meet the basic human rights of girls and women. According to Census 2011, women in the age group of 15-49 years constitute about 53 per cent of the total female population of India. Hence, the monthly menstrual need of such a huge population has to be managed with proper attention. Cert...

Management of Menstrual Hygiene is a problem for young women in India especially in EAG states. Along with basic sanitation facilities, young girls and women require clean and soft, absorbent sanitary products for long run and their health protection. The present paper examines the prevalence of usage of hygienic method of menstrual protection amon...

The significant achievement within public health in India during the past few decades is visualized by a decrease in demographic indicators for health like IMR, MMR, TFR and doubling of life expectancy health care system across the states visages a kind of disagreement of an emerging disconnect between the complexity and iniquitous nature of proble...

Background: The caesarean rate in India has been increased from 8.5% (NFHS-III) during 2005-06 to 17.2% (NFHS-IV) during 2015-16. Objective: The main objective of the study is to assess the regional disparities and determinants of caesarean deliveries in India. Material and Method: It is a descriptive study. The fourth round of National Family Heal...

Background: The unmet need of family planning is 21 percent among the currently married women in Bihar according to NFHS-IV (2015-16), which is much higher compared to other states in India. We aimed to study the social determinants of family planning practices in the state of Bihar. The study used descriptive analytical research design. Methods: T...

The overall goal of universal health coverage (UHC) is to guarantee that every person receives the healthcare services as per his/her need without facing any financial barrier. The achievement of this goal depends upon the legal and regulatory environment to realize the human right to health. In this context, this paper examines the involvement of...

Patient living with chronic viral hepatitis in India faces the high cost of treatment and impoverishment. The present study is aimed to assess the cost of treatment and economic consequences among chronically infected viral hepatitis patients at a tertiary care hospital in Delhi. The descriptive cross-sectional study was undertaken during October 2...

The significant achievement in public health in India during the past few decades is visualized by a decrease in demographic indicators for health like IMR, MMR, TFR and doubling of life expectancy. But grading people’s health and the health care system across the states visage a kind of disagreement of an emerging disconnect between the complexity...

Background: People living with chronic viral hepatitis often face stigma, discrimination and many other psycho-social challenges. Chronic nature of the disease requires long term treatment, causing unavoidable miseries due to which many patients develop depression. Studies on such vulnerabilities are not available in India. Objectives: To assess ps...

The Mukhyamantri Nishulk Dava Yojna (MNDY) was started across the state since 02 October 2011 in order to distribute most commonly used drugs free of cost to all patients visiting the government hospital. To run the scheme, an advanced inventory management by the name of e-Aushadhi has been developed and implemented across all public health facilit...

Police personnel had to perform overtime and shift work, suffer from disrupted sleep patterns, stress and may have high rates of tobacco and alcohol consumption than the general population forced to live physically inactive lifestyle, have irregular diet while on duty raising serious risk to their health. A study was conducted in Gaziabad District...

ABSTRACT The state of Mizoram is co-endemic for Plasmodium falciparum and P. vivax malaria. A study comprising of 1760 HHs was conducted during July-August 2014 in high endemic blocks (API>2) across the state to assesses promptness in treatment in the state. It was found that prevalence of new fever cases and fever during last 14 days was 6.59 and...

Objective: The purpose of the study was to assess the risk behavior and its effect on involvement in sex among school-going adolescents as a part of assessing implementation of Adolescent Reproductive and Sexual Health Scheme (ARSH) in a state of India. Methods: The sample covered 3069 randomly selected adolescents (students) from 9th to 12th stand...

Background: The availability of information on sexual and reproductive health information need of adolescent, facilitates developing appropriate strategy to implement 'Adolescent Reproductive and Sexual Health Scheme (ARSH) in collaboration with school health programme. Materials and Methods: The study sample covered 3069 randomly selected adolesce...

Implementation of Reproductive and Child Health (RCH) Programme was turning point in the history of HMIS in India. A study was conducted in Ghaziabad District of Uttar Pradesh to assess the quality of data under the RCH Programme using the cross examination of records from selected health units and in the community and vice-versa besides interviewi...

Madhya Pradesh is one of the poor performing states in terms of reduction in IMR over time. The decline in IMR of Madhya Pradesh has come down 22 points (28.95%) since 2005. As per the SRS report 2013, NMR of Madhya Pradesh was 8 points above the national level. Still half of the Under5 deaths are taking place after neonatal period and about 22% ch...

Worldwide increasing prevalence of DM may counteract the positive effects of improved curative services for TB. Aims & Objectives: To identify factors associated with Diabetes Mellitus among Tuberculosis Patients attending Tertiary Care Hospital in Delhi. Material & Methods: This study was conducted among 220 TB patients. Results: It was found that...

The introduction of public-private partnership in running the Anganwadi Centers (AWCs) in under-privileged areas is an innovative step by the Ministry of Women and Child Development, Government of India. However, success of such an initiative affected by several factors need to be studied for further strengthening the programme. The present study a...

Background: Although premarital sex relationships are widely discouraged in India, some youth do form such relationships due to change in social mores, media influence and other social and cultural factors. Objectives: To understand the nature and extent of youth sexual behaviour and examine the relationship between individual characteristics, atti...

Background: Adolescent risk behavior due to low awareness about risk factors related to reproductive and sexual health is a major concern. Objectives: The study assessed the knowledge, attitude and practice regarding reproductive health matters besides awareness and utilization of Adolescent Friendly Health Clinics among school going adolescents. M...

The paper assess the voucher scheme for Reproductive and Child Health (RCH) services in terms of awareness generation, provision of services and role of stakeholders in Uttarakhand state. Data was collected from interview of stakeholders and review of records from the state government, voucher management agency and private nursing homes. The scheme...

The use of various contraceptive methods in Rajasthan vari es in each district and region, with in society and al so among different caste and religious groups. This paper examine the reason for not using contraception among currently married women of reproductive age group, to study the reason for discontinuing the contraceptive method and factors...

Background: Adolescent risk behavior is a major concern. Objectives: The study assessed the effect of school background, personal, social and other deviant behavior on school going adolescent sexual behavior. Material and Methods: The sample covered 3069 randomly selected adolescents (students) from 9th to 12th standard in various governments, priv...

AIM: This paper discusses various issues related to awareness about type and stage of cancer, first point of contact for investigation and treatment and treatment seeking behaviour. MATERIAL AND METHODS: The interview was conducted with 611 randomly selected cancer patients from 6 Regional Cancer Centers (RCCs) in India. RESULTS: The study brought...

Background In view of high out-of-pocket costs and low spending even for basic healthcare for the poor employed in the unorganized sector, policy makers in India have turned their attention to developing a financing mechanism for social health insurance with the desire to provide quality care to the poor and economically disadvantaged.Objectives Th...

Background: The integration of PPTCT and RCH activities is an important strategy for universal screening of ANC mothers through available government health infrastructure in a district. The objective of this study was to understand process and analyzing outcome of convergence of PPTCT & RCH services in a District Hospital. Methods: The study was a...

The present study conducted with 100 oral cancer patients at a private tertiary care hospital in Delhidemonstrated that stage III cancer was associated with longer use of tobacco and poor oral hygiene. There was also statistically significant association (p<.05) between consumption of tobacco and alcohol. More than 60% treatment expenditure was on...

Background: The availability of information on sexual and reproductive health information need of adolescent, facilitates developing appropriate strategy to implement 'Adolescent Reproductive and Sexual Health Scheme (ARSH). Materials and Methods: The study sample covered 3069 randomly selected adolescents (students) from 9th to 12th standard in va...

The present study was undertaken in the Casualty Department of a tertiary care hospital of Delhi to analyse road accidents and to ascertain patients’ satisfaction with the existing casualty services in the hospital. It is also intended to suggest corrective measures on the management of accident cases and desired emergency services. The study popul...

Background: To assess the treatment pattern and expenditure incurred by cancer patients undergoing treatment at government tertiary hospitals in India. Materials and methods: A cross-sectional study of 508 cancer patients randomly selected from tertiary cancer hospitals funded by central/state governments located in major cities of five states i...

Meeting the needs of HIV-positive pregnant women and their offspring is key to India’s political and financial commitment to achieving universal access to HIV prevention, treatment, care and support. This review of the strategy implemented in Mysore district, Karnataka, to prevent vertical transmission of HIV highlights the need to integrate preven...

Rashtriya Swasthya Bima Yojana aims to improve access to quality health care and relieve the burden of health care costs of the poor population. This article, based on interviews conducted with different stakeholders of the scheme during October-December 2010, looks at the implementation of the scheme in Delhi. A large proportion of the beneficiari...

The paper assesses the awareness and perception of RSBY among hospitalized families in NCT of Delhi. RSBY families which had availed services in the empanelled hospitals were randomly selected for interview to collect information about their knowledge of the scheme, enrolment process and perception of services provided in the empanelled hospitals....

The present research was conducted to study the implementation of the Prevention of Food Adulteration Act with special focus on adulteration in the milk and milk products in Delhi. Four Subdivisions, two each from district Northeast and South were taken on the basis of records. Testing was undertaken to find out the level of adulteration in milk sa...

An Evaluation of National Iodine Disorder Deficiency Control Programme (NIDDCP) in India was undertaken by National Institute of Health & Family Welfare on the behest of Ministry of Health & Family Welfare in the year 2005-06 in ten States of the country selected from North, East, South, West and Central Regions. The objective of evaluation was to...

The objectives of this study were to assess the extent of regional variations in unmet need of contraception among married women of reproductive age group in Rajasthan and to study the factors influencing unmet need for contraception using the District Level Household Survey (DLHS-3) data. The state has been divided into four regions as per NFHS cl...

Child morbidity is not a single problem with a single solution. Multiple and interrelated bio-social determinants interact and interplay demanding chain of approaches in policies and programmes to be evolved to deal with such kind of health menace. In Odisha, the infant mortality rate was 65 (NFHS-3)1, which was less than 81 (NFHS-2)2 and 112 (NFHS...

Objective: To study the level of awareness and knowledge about cancers and associated risk factors among households in selected states of India. Methods: In the study 3070 households were interviewed from six states viz, West Bengal, Kerala, Madhya Pradesh, Rajasthan and Mizoram. Results: Knowledge of cancers other than those related to tobacc...

Background: Cancer treatment involves multiple modes of treatment like chemotherapy, radio-therapy, surgery etc and requires long term follow up and care. The satisfaction of patients with ongoing treatment may be decisive factor for regular follow-up and survival of cancer patient. This study assesses patients' satisfaction with the service provid...

To assess the performance based incentive system for ASHA Sahyogini in Udaipur district of Rajasthan. This cross-sectional study was conducted in three blocks (one each from rural, urban and tribal area) of Udaipur district during October-December 2008. From each block 60 ASHAs were selected randomly, thus a tola of 180 ASHAs were included. Besides...

The population of India is currently moving toward an old age structure and it is certain that there will be rapid growth in the elderly population in the near future. The paper discusses the inter-states and inter-districts differentials of elderly/aged population of India (defined in terms of those 60 and above) based on Census 2001 published by...

ABTRACT Selected morbidly status of widows in India was analysed from the data records of the National Family Health Survey conducted throughout India during 1998-99. The objective of the study was to determine the pattern of morbidity (i.e. asthma, tuberculosis, jaundice and malaria) among widows with reference to selected socioeconomic and demogr...