The role of the DPHNs has reduced over the years because they have not been assigned new roles with change in programmes and policies. Most of the DPHNs have training for clinical work in hospitals. Their 10 month training to qualify for PHN is inadequate to develop knowledge and skills in...

This working paper is a compilation of the abstracts of all our publications in the last 10 years, which include 40 referred journal articles, 54 Working Papers, 19 Chapters in Books and 18 Case Studies.[W.P. No. 2010-04-04]

The objective of the present study was to explore how infection rates in study hospitals were affected by an intervention in six intervention hospitals in Gujarat, India. Infection control practices, human resource management, infrastructure, supplies and associated health system factors were...

The maternal mortality ratio of Gujarat was 148/100,000 live births in 2009 (SRS, 2011a) and the infant mortality rate 41/1000 live births in 2011 (SRS, 2011b). The government of Gujarat announced Chiranjeevi Yojana in 2005 to reduce maternal and infant mortality. The scheme was pilot tested in...

Following the Safe Motherhood Conference in Nairobi in 1987, there has been a renewed focus on the problem of maternal morality and safe motherhood. Global advocacy led to the starting of new initiatives on safe motherhood in many countries. India launched a major programme in 1992 called the...

Primary Health Care System in India is very large and covers almost all the parts of the country. It has more than 20,000 PHCs and 140,000 Sub-centres spread in more than 400 districts. This system consumes large amount of resources and is the system which provides the services for primary care...

This paper briefly recapitulates the events during the recent plague epidemic in India with specific focus on suspected pneumonic plague cases in Surat City. The paper discusses three key questions which are as yet unanswered. These questions are: (a) The exact nature of the disease,...

This paper describes a micro-level planning methodology for primary health care service which has been developed and tested in India. As compared to current top-down target-based planning, the methodology uses village level data on client needs to formulate micro-level plans aimed at improving...

Considerable progress has been made in improving the health status of the population over the last half-century. Despite this impressive progress, many challenges remain. The life expectancy is still 4 years below world average. So is under five mortality (12 per 1000 per year) higher that...