Rajib Acharya
Dados Biográficos
| ID | 1591922 |
|---|---|
| NOME | Rajib Acharya |
| PRENOMES | Rajib |
| SOBRENOME | Acharya |
| ASSINATURA | ACHARYA R |
| AFILIAÇÕES | Population Council Institute |
| ORCID | 0000-0003-4586-0859 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAÇÕES | 76 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Trends and patterns of inequality in modern contraceptive use in urban and rural India
India has made good progress in the use of modern contraceptives in recent decades, however identifying women who are left behind is important to policy makers for further improving availability, accessibility, and coverage of family planning services to the marginalized population and hence achieving the international and national development agenda. Using five rounds of the National Family Health Survey data conducted between 1992–93 to 2019–21…
Challenges and measures to improve interviewers’ bias in large-scale demographic surveys in India
With increasing demand for more data at local level, the health surveys have expanded both their coverage and areas of inquiry. To cater to this demand, the sample size in National Family Health Surveys (NFHS) increased significantly and thereby raised concerns regarding quality. The present paper attempts to investigate the presence of interviewers' bias in the birth history data in 4 th round of NFHS in four states -Haryana, Odisha, Tamil Nadu …
Asset and consumption gradient of health estimates in India
The wealth index based on household assets and amenities is been increasingly used to explain economic variations of health outcomes in the developing countries. While the variables used to compute the wealth index are easy to collect and time- and cost-effective, the wealth index tends to have an urban bias, uses arbitrary weighting, does not provide per capita measures and is a poor measure of inequality. We used micro data from two of the larg…
Share of current unmet need for modern contraceptive methods attributed to past users of these methods in India
Despite persistent efforts, unmet need for contraceptives in India has declined only slightly from 14% to 13% between 2005–06 and 2015–16. Many women using a family planning method discontinue it without switching to another method and continue to have unmet need. This study quantified the share of current unmet need for modern contraceptive methods attributed to past users of these methods in India. Data were drawn from two rounds of the Nationa…
How does the sex composition of children affect men's higher ideal family size preference relative to women and contraceptive use patterns among couples? A cross-sectional analysis of dyadic couple's …
This study contributes to existing research on the relationship between sex composition of children with ideal family size preferences and contraceptive use by highlighting meaningful differences between higher and lower parity couples. Findings from the study can be used by family planning programs in India to customize family planning counselling messages by both sex composition and parity
Socio-economic inequality in anthropometric failure among children aged under 5 years in India
This study estimated a composite index to assess the overall anthropometric failure, which also provides a broader understanding of the extent and pattern of undernutrition among children. Findings show that maternal covariates contribute the most to the rich-poor gap. As well, the findings suggest that intervention programs with a targeted approach are crucial to reach the most vulnerable groups and to reduce the overall burden of undernutrition
Is economic inequality in family planning in India associated with the private sector?
This study examined the pattern of economic disparity in the modern contraceptive prevalence rate (mCPR) among women receiving contraceptives from the public and private health sectors in India, using data from all four rounds of the National Family Health Survey conducted between 1992–93 and 2015–16. The mCPR was measured for currently married women aged 15–49 years. A concentration index was calculated and a pooled binary logistic regression an…
Incidence of treatment for postabortion complications in India, 2015
Abortion has been legal under broad criteria in India since 1971. However, access to legal abortion services remains poor. In the past decade, medication abortion (MA) has become widely available in India and use of this method outside of health facilities accounts for over 70% of all abortions. Morbidity from unsafe abortion remains an important health issue. The informal providers who are the primary source of MA may have poor knowledge of the …
Abortion Self-Care
Following the World Health Organization's (WHO) definition of self-care, abortion self-care is the ability of pregnant individuals to manage their unwanted pregnancies with or without the support of health care providers-particularly, in the early weeks of pregnancy (up to 12 weeks' gestation). The advent of medication abortion (MA) has made this possible, as early self-managed MA at home is a safe, acceptable and cost-effective method of pregnan…
Association between modern contraceptive use and child mortality in India
This study provides evidence of dual benefit of contraceptive use. Such information is important for promoting evidence-based advocacy to expand use of family planning services. This will help the country to achieve Sustainable Development Goal 3.2 which calls for end of preventable deaths during childhood
Intrahousehold influence on contraceptive use among married Indian women
The conclusive evidence of positive intrahousehold influence on contraceptive use of Index Women will encourage program managers to promote intrahousehold communication to increase use of family planning
Health workers’ outreach and intention to use contraceptives among married women in India
Increased scope of outreach of frontline health workers to provide FP communication and services will not only help in building knowledge of contraceptive methods but will also increase women's intention to use a method. For India, this may be the most promising way to achieve the Sustainable Development Goals 3.7, which calls for universal access to reproductive health services
Provision of medical methods of abortion in facilities in India in 2015
Medical methods of abortion, MMA, has been legal in India since 2002. Guidelines stipulate that it should be administered by a provider or acquired via prescription. 1.2 million women having abortions in India use MMA acquired from health facilities [Singh, S., Shekhar, C., Acharya, R., Moore, A. M., Stillman, M., Pradhan, M. R., ... Browne, A. (2018). The incidence of abortion and unintended pregnancy in India, 2015. The Lancet Global Health , 6…
Transforming the attitudes of young men about gender roles and the acceptability of violence against women, Bihar
Although the importance of working with young men to transform traditional gender norms has been widely acknowledged, programmes for young men remain sparse in highly gender stratified settings such as India, and those that have been implemented have not reached those in rural areas and those out-of-school. Drawing on data from a cluster randomised controlled trial with panel surveys, of a gender-transformative life skills education and sports-co…
Validation of Two Quality of Care Measures
Bruce's quality of care framework, developed nearly three decades ago, brought needed international attention to family planning services. Various data collection efforts exist to measure the quality of contraceptive services. Our study validates two process quality measures and tests their predictive validity related to contraceptive continuation among 2,699 married women who started to use a reversible contraceptive method in India. We assessed…
Measuring gender norms about relationships in early adolescence
This study reveals common perceptions of gendered norms about romantic engagement in early adolescence, normative for both sexes, but socially valued for boys while devaluated for girls. The findings illustrate that social hierarchies of power in romantic relationships form early in adolescence, regardless of cultural setting
Meeting Contraceptive Needs
CONTEXT: Although interventions such as the PRACHAR project in Bihar, India, have been associated with increased contraceptive knowledge and use in the short term, less is known about whether such gains are sustained years later. METHODS: Survey data, collected in 2013 from 2,846 married women aged 15-34, were used to compare contraceptive awareness and use between those who lived in areas where the PRACHAR project had been implemented in 2002-20…
Prevalence and Health Impact of Intimate Partner Violence and Non-partner Sexual Violence Among Female Adolescents Aged 15–19 Years in Vulnerable Urban Environments
Violence against women in South Asia
Intimate partner violence is pervasive in South Asia, yet married women's experiences regarding seeking help when faced with intimate partner violence and the health sector response remain largely unexplored. This commentary reviews the available published and unpublished literature and summarises what is known about the prevalence of marital violence against women and violence-related care-seeking experienced by women in this region. The comment…
How adolescents perceive their communities
As the world continues to urbanize, our study points to a strong need to examine how the physical aspects of a living environment contribute to the health of adolescents. Specific aspects, such as housing, safety, garbage, and recreational spaces must all be examined as possible pathways for making improvements to health of adolescents, particularly among those living in poor urban environments
Physicians' and non-physicians' views about provision of medical abortion by nurses and Ayush physicians in Maharashtra and Bihar, India
There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar stat…
Adolescents' perceptions of health from disadvantaged urban communities
Physical and sexual violence and symptoms of gynaecological morbidity among married young women in India
Evidence from India about young women's experience of physical and sexual violence within marriage and its sexual and reproductive health consequences is limited. Data, drawn from 12,220 married women ages 15-24 years old from six Indian states, were used to identify associations between the experience of violence and recent symptoms of gynaecological morbidity, using logistic regression analysis. Young women who had experienced physical, sexual,…
Exploring Associations between Mobility and Sexual Experiences among Unmarried Young People
This study examines mobility (short-term movement involving stays away from home) among unmarried youths in India and its association with their sexual experiences. We look at unmarried young women and men aged 15 to 24 from rural and urban areas in six states in India-Bihar, Jharkhand, Rajasthan, Andhra Pradesh, Maharashtra, and Tamil Nadu. Data are drawn from a subnationally representative study of Indian youths, in which 11,522 young men and 1…
Feasibility of Expanding the Medication Abortion Provider Base in India to Include Ayurvedic Physicians and Nurses
CONTEXT: The availability of trained abortion providers is limited in India. Allowing ayurvedic physicians and nurses to perform medication abortions may improve women's access to the procedure, but it is unclear whether these clinicians can provide these services safely and effectively. METHODS: Allopathic physicians, ayurvedic physicians and nurses (10 of each), none of whom had experience in abortion provision, were trained to perform medicati…
Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India
The validity of estimates of unintended childbearing has often been questioned, especially given their almost exclusive reliance on responses to survey questions that ask women to recall their intentions about past pregnancies. An opportunity to compare prospective and retrospective descriptions of intendedness was provided by a follow-up survey in four Indian states in 2002-2003 of rural woman originally interviewed in the 1998-99 National Famil…
Marriage-Related Decision-Making and Young Women's Marital Relations and Agency
There is little research that has explored how marriage arrangements, i.e., family-arranged, semi-arranged marriages with some say in spouse selection and self-arranged marriages, affect young women's married life in settings traditionally characterised by arranged marriage. Using data from 13,912 married young women aged 15–24 in India, we explore associations between marriage arrangements and young women's marital relations and agency. Logistic…
Adolescents' perceptions of health from disadvantaged urban communities
Validation of Two Quality of Care Measures
Bruce's quality of care framework, developed nearly three decades ago, brought needed international attention to family planning services. Various data collection efforts exist to measure the quality of contraceptive services. Our study validates two process quality measures and tests their predictive validity related to contraceptive continuation among 2,699 married women who started to use a reversible contraceptive method in India. We assessed…
Domestic Violence, Contraceptive Use, and Unwanted Pregnancy in Rural India
This study examines the relationship between male‐to‐female physical domestic violence and unwanted pregnancy among women in three economically and culturally diverse areas of India. A central methodological focus of the study is the examination of retrospective and prospective measures of pregnancy unwantedness, contrasting their usefulness for specifying levels of unwanted pregnancy and its relationship with domestic violence. Data from India's…
Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania
This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive…
Exploring Associations between Mobility and Sexual Experiences among Unmarried Young People
This study examines mobility (short-term movement involving stays away from home) among unmarried youths in India and its association with their sexual experiences. We look at unmarried young women and men aged 15 to 24 from rural and urban areas in six states in India-Bihar, Jharkhand, Rajasthan, Andhra Pradesh, Maharashtra, and Tamil Nadu. Data are drawn from a subnationally representative study of Indian youths, in which 11,522 young men and 1…
Seasonal Variation of Births in Rural West Bengal
This paper examines seasonal variation of births in a rural community of West Bengal, India, by exploring data from the 1992–93 National Family Health Survey. Suitable time series analyses were used to determine the seasonal pattern of births and to estimate peaks. The trigonometric regression technique was used to carry out this objective. The study attempted to link the results of the regression analysis to the atmospheric temperature of the re…
Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India
The validity of estimates of unintended childbearing has often been questioned, especially given their almost exclusive reliance on responses to survey questions that ask women to recall their intentions about past pregnancies. An opportunity to compare prospective and retrospective descriptions of intendedness was provided by a follow-up survey in four Indian states in 2002-2003 of rural woman originally interviewed in the 1998-99 National Famil…
Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania
This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive…
Domestic Violence, Contraceptive Use, and Unwanted Pregnancy in Rural India
This study examines the relationship between male‐to‐female physical domestic violence and unwanted pregnancy among women in three economically and culturally diverse areas of India. A central methodological focus of the study is the examination of retrospective and prospective measures of pregnancy unwantedness, contrasting their usefulness for specifying levels of unwanted pregnancy and its relationship with domestic violence. Data from India's…
Associations Between Early Marriage and Young Women’s Marital and Reproductive Health Outcomes
Condom Use Before Marriage and Its Correlates
CONTEXT: Little evidence is available from India concerning young people's use of condoms in premarital relationships. METHODS: Data from a subnationally representative study of Indian youth conducted in 2006-2008 were used to assess condom use in premarital relationships. Analyses used survey data from 2,408 married or unmarried youth aged 15-24 who had had premarital sex, and qualitative data from 271 such youth who completed in-depth interview…
Timing of first sex before marriage and its correlates
While several studies have documented the extent of pre-marital sexual experience among young people in India, little work has been done to explore the factors that are correlated with the timing of pre-marital sexual initiation. This paper examines age at initiation of pre-marital sex, circumstances in which first sex was experienced, nature of first sexual experience and correlates of age at initiation of pre-marital sex. Life table estimates s…
Feasibility of Expanding the Medication Abortion Provider Base in India to Include Ayurvedic Physicians and Nurses
CONTEXT: The availability of trained abortion providers is limited in India. Allowing ayurvedic physicians and nurses to perform medication abortions may improve women's access to the procedure, but it is unclear whether these clinicians can provide these services safely and effectively. METHODS: Allopathic physicians, ayurvedic physicians and nurses (10 of each), none of whom had experience in abortion provision, were trained to perform medicati…
Marriage-Related Decision-Making and Young Women's Marital Relations and Agency
There is little research that has explored how marriage arrangements, i.e., family-arranged, semi-arranged marriages with some say in spouse selection and self-arranged marriages, affect young women's married life in settings traditionally characterised by arranged marriage. Using data from 13,912 married young women aged 15–24 in India, we explore associations between marriage arrangements and young women's marital relations and agency. Logistic…
Physical and sexual violence and symptoms of gynaecological morbidity among married young women in India
Evidence from India about young women's experience of physical and sexual violence within marriage and its sexual and reproductive health consequences is limited. Data, drawn from 12,220 married women ages 15-24 years old from six Indian states, were used to identify associations between the experience of violence and recent symptoms of gynaecological morbidity, using logistic regression analysis. Young women who had experienced physical, sexual,…
Exploring Associations between Mobility and Sexual Experiences among Unmarried Young People
This study examines mobility (short-term movement involving stays away from home) among unmarried youths in India and its association with their sexual experiences. We look at unmarried young women and men aged 15 to 24 from rural and urban areas in six states in India-Bihar, Jharkhand, Rajasthan, Andhra Pradesh, Maharashtra, and Tamil Nadu. Data are drawn from a subnationally representative study of Indian youths, in which 11,522 young men and 1…
Prevalence and Health Impact of Intimate Partner Violence and Non-partner Sexual Violence Among Female Adolescents Aged 15–19 Years in Vulnerable Urban Environments
Violence against women in South Asia
Intimate partner violence is pervasive in South Asia, yet married women's experiences regarding seeking help when faced with intimate partner violence and the health sector response remain largely unexplored. This commentary reviews the available published and unpublished literature and summarises what is known about the prevalence of marital violence against women and violence-related care-seeking experienced by women in this region. The comment…
How adolescents perceive their communities
As the world continues to urbanize, our study points to a strong need to examine how the physical aspects of a living environment contribute to the health of adolescents. Specific aspects, such as housing, safety, garbage, and recreational spaces must all be examined as possible pathways for making improvements to health of adolescents, particularly among those living in poor urban environments
Physicians' and non-physicians' views about provision of medical abortion by nurses and Ayush physicians in Maharashtra and Bihar, India
There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar stat…
Adolescents' perceptions of health from disadvantaged urban communities
Meeting Contraceptive Needs
CONTEXT: Although interventions such as the PRACHAR project in Bihar, India, have been associated with increased contraceptive knowledge and use in the short term, less is known about whether such gains are sustained years later. METHODS: Survey data, collected in 2013 from 2,846 married women aged 15-34, were used to compare contraceptive awareness and use between those who lived in areas where the PRACHAR project had been implemented in 2002-20…
Measuring gender norms about relationships in early adolescence
This study reveals common perceptions of gendered norms about romantic engagement in early adolescence, normative for both sexes, but socially valued for boys while devaluated for girls. The findings illustrate that social hierarchies of power in romantic relationships form early in adolescence, regardless of cultural setting
Provision of medical methods of abortion in facilities in India in 2015
Medical methods of abortion, MMA, has been legal in India since 2002. Guidelines stipulate that it should be administered by a provider or acquired via prescription. 1.2 million women having abortions in India use MMA acquired from health facilities [Singh, S., Shekhar, C., Acharya, R., Moore, A. M., Stillman, M., Pradhan, M. R., ... Browne, A. (2018). The incidence of abortion and unintended pregnancy in India, 2015. The Lancet Global Health , 6…
Transforming the attitudes of young men about gender roles and the acceptability of violence against women, Bihar
Although the importance of working with young men to transform traditional gender norms has been widely acknowledged, programmes for young men remain sparse in highly gender stratified settings such as India, and those that have been implemented have not reached those in rural areas and those out-of-school. Drawing on data from a cluster randomised controlled trial with panel surveys, of a gender-transformative life skills education and sports-co…
Validation of Two Quality of Care Measures
Bruce's quality of care framework, developed nearly three decades ago, brought needed international attention to family planning services. Various data collection efforts exist to measure the quality of contraceptive services. Our study validates two process quality measures and tests their predictive validity related to contraceptive continuation among 2,699 married women who started to use a reversible contraceptive method in India. We assessed…
Is economic inequality in family planning in India associated with the private sector?
This study examined the pattern of economic disparity in the modern contraceptive prevalence rate (mCPR) among women receiving contraceptives from the public and private health sectors in India, using data from all four rounds of the National Family Health Survey conducted between 1992–93 and 2015–16. The mCPR was measured for currently married women aged 15–49 years. A concentration index was calculated and a pooled binary logistic regression an…
Incidence of treatment for postabortion complications in India, 2015
Abortion has been legal under broad criteria in India since 1971. However, access to legal abortion services remains poor. In the past decade, medication abortion (MA) has become widely available in India and use of this method outside of health facilities accounts for over 70% of all abortions. Morbidity from unsafe abortion remains an important health issue. The informal providers who are the primary source of MA may have poor knowledge of the …
Abortion Self-Care
Following the World Health Organization's (WHO) definition of self-care, abortion self-care is the ability of pregnant individuals to manage their unwanted pregnancies with or without the support of health care providers-particularly, in the early weeks of pregnancy (up to 12 weeks' gestation). The advent of medication abortion (MA) has made this possible, as early self-managed MA at home is a safe, acceptable and cost-effective method of pregnan…
Association between modern contraceptive use and child mortality in India
This study provides evidence of dual benefit of contraceptive use. Such information is important for promoting evidence-based advocacy to expand use of family planning services. This will help the country to achieve Sustainable Development Goal 3.2 which calls for end of preventable deaths during childhood
Medicine (26 obras) · Population (25 obras) · Demography (20 obras) · Global Maternal and Child Health (20 obras) · Environmental health (19 obras) · Sociology (16 obras) · Family planning (15 obras) · Psychology (12 obras) · Reproductive Health and Contraception (11 obras) · Research methodology (11 obras)