Srinivasan Kannan

Sree Chitra Tirunal Institute for Medical Sciences and Technology | SCTIMST · Achutha Menon Centre for Health Science Studies

Background There is a concurrent increase in anaemia and overweight/obesity among women in the South and South East Asia regions. Despite these, studies on the co-existence of anaemia and overweight/obesity in these countries are abysmally limited. This secondary analysis sought to estimate the burden of the intraindividual double burden of malnutr...

Background: The role of local self-government (LSG) bodies in planning community-level interventions for noncommunicable diseases (NCD) control is critical. An understanding of how much priority is given to NCD in decentralized health planning is needed. Objective: The objective of this study is to analyze the pattern of budgetary allocation for...

Introduction: Millennium Development Goal made significant progress, despite that major challenges such as maternal mortality, access to sexual and reproductive health and rights in the developing countries remain as a huge problem. The objective of the study was to find the proportion of institutional delivery and barriers of maternal health servi...

Background Non-communicable diseases programmes need to use social science for improving the quality and safety during implementation. Emphasising only the epidemiological parameters undermine the quality of healthcare provision. Implementation research at the health care delivery level of the India Hypertension Control Initiative was studied and t...

Tannery pollution affected the water and livelihood of people in Dindigul. Polluted water and soil reduced agricultural production; contaminate drinking water, and livelihood. The present study aims to study the adverse effects of industrial pollution on agriculture and livelihood in Dindigul. Twenty randomly villages drew with an equal number from...

This data note on Social networking sites (SNS) and their impact on social esteem and social formation is associated with human relationships in the context of decreased space due to increased use of digital communication. The participants of this data are emerging adults using digital devices and interact with their friends in the virtual world th...

Background: With advancement in early detection and treatment number of breast cancer survivors are on the rise. Long term survivors have in addition to medical problems related to treatment, psychological distress and challenges related to body image, sexuality and stigma. The survivorship issues related to breast cancer are largely under studied...

Background: The poor survival rates observed in oral cancer can be improved if diagnosed early. A greater understanding of the patient and diagnostic interval in the diagnostic journey of oral cancer is vital for facilitating early diagnosis. The non-availability of a validated tool for measuring these intervals impedes early diagnosis research. Th...

Undernutrition among children under the age of five remains untracked in India. One in five children are undernourished even in Kerala, a developed south Indian state well known for its egalitarian development. The aim of this paper is to understand the social, economic, and political dimensions of undernutrition among children of age 6–60 months b...

Background: The incidence of oral cancer is increasing in south-central Asia. Though it can be detected early, most cases were reported in late stages, resulting in a poor prognosis. Reducing the patient interval will facilitate early diagnosis and better disease survival. The paucity of research on the patient interval in oral cancer has limited...

Background: Social networking sites (SNS) enhance human relationships and decrease space by promoting computer-mediated communication. Emerging adults who interact in the virtual world have a definite role in physical, emotional, social and cognitive development. The paper aims to study the use of SNS and its influence on social capital formation a...

Background: Maharashtra State Quality Assurance Program was evolved and pilot project was launched in 2006-07. In 2011 as Phase three it was launched in Beed district. Objectives: Objectives of the present study are to assess client’s perception on quality and satisfaction of healthcare at PHCs and their correlates and job satisfaction among health...

Introduction: Standard precautions are the basic infection control precautions that should be followed in any setting where health care is delivered. This study aims to determine the level of awareness and practice of standard precautions among health personnel, factors that influence practice and the possible hindrances in practice of the same. Me...

Aim of the study is to find the perceptions of Presbyterian Church leaders about HIV prevention in Aizawl, Mizoram. For the study, mixed method was followed for data collection. From 15 Presbyterian churches, 293 Church leaders representing four groups, that is, Pastor/Elder, Women, Youth and Men were randomly selected and used self-administered qu...

Lockdown linked to the COVID-19 pandemic generated food security associated panic among the general population. This article is an exercise to document actions taken by the Government of Kerala to prevent people from starving during such difficult times of lockdown. Inclusive interventions such as provision of dry ration free of cost, operating com...

Tannery pollution affected water and livelihood of people in Dindigul. Polluted water and soil reduced agricultural production; contaminate drinking water, and livelihood. The present study aims to study the adverse effects of industrial pollution on agriculture and livelihood in Dindigul. Twenty randomly villages drawn with equal number from the v...

Background Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods We used data from 1990 to 2019 on people aged 30...

Background: Proper diet is necessary to control hypertension and diabetes. This paper describes the combined fruit and vegetable, and salt intake of adults (>=18 years) who were detected to have hypertension or diabetes. Methods: We analysed the data from a state-wide survey of 12012 adults using the World Health Organization STEPs for NCD risk...

Background: Despite having better human development indicators, one-fifth of under-five children in Kerala are undernourished. The demographic, socio-economic, cultural and political transition in Kerala necessitates a revisit on the causes of undernutrition among children given that it tackled many of the immediate causes of undernutrition. The pr...

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in di...

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in di...

Background: Pollution of air, water and soil poisons the environment and cause diseases. The illness in a social context needs further exploration in this particular context. That also led to a reduction in agricultural production, drinking water contamination, and cause illness to both human and animal. That is how it is contributing to alteration...

Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled ana...

Assistive Technology awareness and utilization of its potential among lower limb amputees of Delhi, India.

Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled ana...

Background: Oral cancer is an important public health problem in Southeast Asian countries. Generally, cases are reported in advanced stages, resulting in prolonged treatment, high financial burden, and poor prognosis. When diagnosed early, treatment is simple and inexpensive. Materials and Methods: A sequential explanatory study design, cross-s...

Objective: To estimate the prevalence of non-communicable disease (NCD) risk factors in Kerala. Design: A community-based, cross-sectional survey. Participants: In 2016-2017 a multistage, cluster sample of 12 012 (aged 18-69 years) participants from all 14 districts of Kerala were studied. Main outcome measures: NCD risk factors as stipulate...

A double burden of malnutrition (DBM) is the coexistence of under-nutrition and over-nutrition in a single household that has been reported from many developing countries. We performed a secondary analysis on India Human Development Survey (IHDS-II) data assessing ‘stunted child and overweight/obese mother (SCOWT) pairs’ in Kerala households. We in...

Context: Change in stunting as the children grow older is rarely found in published literature. Aims: The present paper compares the change in the prevalence of stunting among children as they grow from 0-4 years to 7-11 years. Settings and design: The present paper is a secondary analysis of India Human Development Survey-I (IHDS-I) (2005) an...

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PURPOSE Noncommunicable disease (NCD) prevention is emerging as a public health priority in developing countries. For better health outcome in these countries, it is necessary to understand the different community-based interventions developed and implemented across the world. OBJECTIVE The objective of the current review is to identify the best s...

Purpose of the article is to assess the performance of Odisha’s health services’ multiple drug supply chain management using logistics system assessment tool (LSAT) and logistics indicators assessment tool (LIAT). Data were collected on public health supply chains at different levels, state, district, sub-district, or block. For that purpose 13 blo...

An Initial Public Offer (IPO) is an offer of specified securities by an unlisted issuer to the public for subscription. After the public issue process is completed, the listing and trading of securities in the secondary market is possible. The decision to go public is an important landmark in a firm's life cycle. An IPO helps a retail investor to a...

Movement for healthcare, mostly termed ‘medical tourism’, has been a sector of enormous potential in South Asia over the past years attracting many international clients. Kerala, a state in southern India, advertises ‘Kerala Ayurveda’ as one of its particular attractions. The objective of this paper is to study and understand the public health view...

Nearly three-quarters of global deaths from non-communicable diseases (NCDs) occur in low- and middle-income countries such as India. However, there are few data available on longitudinal change in risk factors for NCDs in India. We conducted a cohort study among 495 individuals (aged 15 to 64 years at baseline) in rural Kerala state, India, from 2...

We assessed hypertension prevalence, awareness, treatment and control among male gulf migrant and non-migrant workers in Kerala state of India. We did a cross sectional survey of 191 migrant and 193 non-migrant men aged 25-64 years selected using a multistage random sampling method. Using World Health Organization STEPS approach, we collected infor...

Medical Tourism has been a sector of enormous potential in South Asia over the past years which attracts many international patients. Kerala, a state in southern India, advertises Ayurveda as one of its particular attractions – its representatives even speak of the brand “Kerala Ayurveda”. The objective of this paper is to study and understand the...

This paper stresses the importance of measurements in social impact created by the social entreprises. This paper specifically look in to the different types of social enterprises and the impact that should be created by them. Many at times it is difficult to measure the impact. Such instances one may use qualitative approaches and support the impa...

We used the data of 297 participants (15-64 years old) from a cohort study (2003-2010) who were free from hypertension at baseline, to develop a risk score to predict hypertension by primary health care workers in rural India. Age ≥35 years, current smoking, prehypertension, and central obesity were significantly associated with incident hypertensi...

We aimed to compare the sociodemographics, health care utilization pattern, and out-of-pocket (OOP) expenses of 149 insured and 147 uninsured below-poverty-line households insured under the Comprehensive Health Insurance Scheme, Kerala, through a comparative cross-sectional study. Family size more than 4 (odds ratio [OR] = 2.34; 95% confidence inte...

Background: In India one in three women is delivering without skilled care. This is happening even after the Safe Motherhood Initiative began two decades ago. Aim & Objective: The aim of the present paper is to assess utilization of maternal health services and factors affecting skilled delivery care among urban slum women. Method: We selected 562...

Social Program Evaluation (SPE) is the method and tool to address policy questions of diverse social actors to improve services. In India, the development programs are planned mostly using quantitative indicators. For instance, health and medical professionals prefer quantitative indicators such as, morbidity, mortality, prevalence, and incidence a...

Background: In India one in three women is delivering without skilled care. This is happening even after the Safe Motherhood Initiative began two decades ago. Aim & Objective: The aim of the present paper is to assess utilization of maternal health services and factors affecting skilled delivery care among urban slum women. Method: We selected 562...

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We analyzed data from a cohort study in rural Kerala, India, to study the incidence of current smoking and current smokeless tobacco use. At baseline, of 452 individuals aged 15 to 64 years, 385 were current nonsmokers and 402 were current nonusers of smokeless tobacco. Over a mean follow-up of 7.1 ± 0.2 years, 5.5% became current smokers and 9.0%...

We compared the screening performance of risk scores for Asians and whites for diabetes, dysglycemia, and metabolic syndrome. Our subjects were 451 people aged 15 to 64 years who participated in a cohort study from May 2003 through September 2010 in a rural area of the Thiruvananthapuram district of Kerala, India. All outcome measures showed overla...

Public health employs women workforce in larger numbers. The success of health depends on those workers. There is a different aspect of job allocation in delivering services. Studies show health workers specifically nurses are burdened with workload. The present paper is a study on time and motion of two activities health workers. Methodology: Time...

We aimed to compare the sociodemographics, health care utilization pattern, and out-of-pocket (OOP) expenses of 149 insured and 147 uninsured below-poverty-line households insured under the Comprehensive Health Insurance Scheme, Kerala, through a comparative cross-sectional study. Family size more than 4 (odds ratio [OR] = 2.34; 95% confidence inte...

The authors aimed to develop a diabetes risk score for primary care providers in rural India. They used the baseline data of 451 participants (15-64 years) of a cohort study in a rural area of Kerala, India. The new risk score with age, family history of diabetes, and waist circumference identified 40.8% for confirmatory testing, had a sensitivity...

Determinants of occupational stress among healthcare workers delivering HIV/AIDS services: Cross sectional study in Andhra Pradesh, India Background: Andhra Pradesh (AP) has high prevalence of HIV/AIDS in India. Estimates show a prevalence of 0.90% among adult and this contributes to 21% of total of People Living with HIV/AIDS (PLHA) in India....

Abstract Almost two decades since the initiation of the Safe Motherhood Initiative, every third pregnant women are delivered without skilled care. This study aimed to assess use pattern of maternal health services and factors affecting skilled care during delivery in urban slums. Methods: We have selected 562 women who delivered in last two year...

Introduction. The study gathered information on work load among women public health workers and factors associated with this in Thiruvananthapuram, Alappuzha, Ernakulam, Malappuram and Wayanad districts of Kerala. An increasing number of nurses were reported to have occupational hazards and are suffering from back injuries due to lifting and moving...

To investigate the incidence of hypertension and its risk factors in Kerala, India where the epidemiological transition is more advanced than elsewhere in India. Prospective cohort study. A sample of 297 individuals (aged 15-64 years) in rural Kerala, India, who were free of hypertension at study enrolment, were followed-up from 2003 to 2010. At en...

We used the data of 297 participants (15-64 years old) from a cohort study (2003-2010) who were free from hypertension at baseline, to develop a risk score to predict hypertension by primary health care workers in rural India. Age ≥35 years, current smoking, prehypertension, and central obesity were significantly associated with incident hypertensi...

The authors aimed to develop a diabetes risk score for primary care providers in rural India. They used the baseline data of 451 participants (15-64 years) of a cohort study in a rural area of Kerala, India. The new risk score with age, family history of diabetes, and waist circumference identified 40.8% for confirmatory testing, had a sensitivity...

Objectives: To study the prevalence and associated factors of non-sterile occupational injuries among students of modern medicine in Assam. Methodology: A cross sectional survey was conducted using a self-administered, pre-tested, structured questionnaire in English language adapted from the CDC workbook for designing, implementing and evaluating a...

Emergence of “Glass ceiling” like phenomena in the minds of professionals doing research in a multidisciplinary subject needs to be studied. For an example, computational neurosciences(CNS) comprises of neurology, cognitive science, psychology, computer science, physics, mathematics, information technology, radiology, anthropology, sociology, and b...

It is a common problem in India for women in the reproductive age group to suffer from reproductive illnesses and not seek care. This paper is an attempt to assess untreated reproductive morbidities and to study factors affecting treatment-seeking behavior among ever married women of urban slums. We selected 1,046 women of the reproductive age grou...

Decision making is always been an important in social setting. For understanding the process of decision making it is important to understand as to how people make decisions and the factors influence the decisions. Studies (Srinivasan and Sharan 2005, Pescosolido, 1992) show that decisions are not made in isolation but they are the products of infl...

Tourism is a service sector which earns a substantial foreign exchange to developing countries. In India, Kerala is one of the important destination for the international tourists with its unique nature beauty with backwaters, mountains and beaches. To make the tourism a great success one has to take advantage of the modern technology to full exten...

Program Management is an important step in Social Development. There are variety of uses of the term "program" in organizations. In general use, a program is a collection of organizational resources that is geared to accomplish a certain major goal or set of goals. This definition of a program is similar to that of an organization and a system. A p...

Modern technologies such as Information Communication Technologies have helped many of the development sectors. One of the sectors it has lot of scope to develop is the Education. It is also evident from the experience that the benefits of these technologies have contributed much in the area of healthcare. However, these benefits come with few limi...

Social Network suggests that the decisions are not made in isolation but they are outcome of influence and confluence of social correlates (Srinivasan and Sharan 2005). They are products of consultations with other members of the community or the institutions. Many at times they happen mutually. Social exchange theory suggests that the interaction...

Human Resources in Health is becoming important in these days. The Human Resources is an important area to be addressed for better healthcare delivery. Health is a sector which depends much on the human resources compared to other sectors. The human resources is the base for carrying out the services in health. The human resources in health include...

Health care technology is in use for a decade or more in India. The use of technology in healthcare especially in public health is very common due to the recent development in Information Communication Technology. The costs of equipments in ICT are generally falling. The present paper is looking at various studies on Telehealth technology. Based on...

The article provides a detailed analysis of the teachers who attended the training for primary education viewed pre-recorded cassette using Group Observation method. First the paper discusses detailed methodology on group observation and in the second part the findings suggests that for better production of any video Programme for training the teac...

Business Process Reengineering is a common topic in the field of Manufacturing and Production Engineering. There are few efforts in the area of Service industry using this framework. The present study is an effort to use the framework for improving efficiency in an Institute of Excellence in South India. The study addresses two of the line function...

Healthcare technology is in use for a decade or more in India. The use of technology in healthcare especially in public health is very common due to the recent development in Information Communication Technology. The cost of equipments in ICT in general are falling. But in healthcare, some of the equipments costs very high. Such equipments are comm...

Learning Management Systems are becoming more popular among all institutions of higher learning. One problem all institutions face is the selection of appropriate solution fit in to organization's requirement. While selecting a system the organisations have to focus on all stakeholders rather than focusing just on the features of the system. Many a...

The aim of this paper is to probe into the structure and functioning of health bureaucracy in India with specific reference to rural health bureaucracy of Tamil Nadu State. bureaucracy is defined as "a hierarchical division of staff who act on formal assignments" - Gouldner(1954). This definition suggests five specific dimensions of bureaucracy nam...

The simultaneous advances in computer technology, in terms of computing capability, memory capacity, and sensor technology in terms of cost and reliability of the acquisition devices, triggered the need of visualization of images in medical field. This paper deals with an introductory survey of tools available in Matlab for medical image analysis a...

This is a strategy paper for developing effective communication strategies in health in the state of Rajasthan, India. Rajasthan is one among the poor performing states in Health and Family Welfare. The author first presents the current stains of communication strategies, which have been developed by the called Information Education and Communicati...

Religion and its effects on morbidity and mortality (with particular emphasis on mortality) are reviewed as are special issues which have in the past made the study of religion and death difficult. The morbidity and mortality experience of various religious groups is portrayed, including Protestants, Catholics, Jews, Muslims, the clergy, Seventh-da...

A common question always had been of interest to understand as to how people make decisions. It is well known that decisions are not made in isolation but they are the products of influence and confluence of social correlates. Studies of some Sociologists report that often decisions are made in consultation with their community members. This unders...

Alma Ata Declaration on Primary Health Care defines , health as not just absence of disease but fitness at all levels i.e.Physically, mentally, Psychologically, spirtually, socially, and so on. RCH emphasizes fitness at all level along with health education and medical education. For the last one decade IT has contributed substantially in the healt...

In Kerala, the revenue generated by tourism i assessed as 6.29% of GDP and the employment in tourism is estimated as 7 lakhs. Total investments worth over Rs.500 Cr. has come into Kerala on account of the State's prioritizing the creation of basic infrastructure to support tourism and adopting a policy that i eco-friendly and environmentally sustai...

Modern technologies such as Information Communication Technologies have helped many of the development sectors. One of the sectors it has lot of scope to develop is the Education. It is also evident from the experience that the benefits of these technologies have contributed much in the area of healthcare. However, these benefits come with few limi...

Software is the essential enabler for the new society. It creates new markets and new directions for a more reliable, flexible, and robust society. This paper presents a new trend and theory in the direction in which we believe software science and engineering may develop to transform the role of software and science in tomorrow’s information socie...

Digital Library has many features that make it distinct from traditional libraries. These features make it an excellent medium to address information and interaction services related to quality of education, and management of learning environments. While the paper libraries have become very expensive and are the prerogative of only a few well endow...

In this paper an attempt has been made to document the reasons for low acceptance of family planning methods among the scheduled tribes of Rajasthan, India. Three tribal groups-the Bhils, Garassias and Meenas-were selected for detailed investigations. The study was conducted using in-depth interviews and focus group discussions. The respondents inc...