Prashanth Nuggehalli Srinivas
Datos Biográficos
| ID | 4018382 |
|---|---|
| NOMBRE | Prashanth Nuggehalli Srinivas |
| NOMBRES | Prashanth Nuggehalli |
| APELLIDO | Srinivas |
| FIRMA | SRINIVAS P N |
| AFILIACIONES | Institute of Public Health Bengaluru |
| ORCID | 0000-0003-0968-0826 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 48 |
| TOTAL DE CITAS | 5 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 21 |
| PRIMER AÑO DE PUBLICACIÓN | 2020 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Identifying competencies of primary health care teams in Bhavnagar district, Gujarat
Primary healthcare (PHC) services provided by multi-disciplinary teams is essential for delivering comprehensive, integrated health services. PHC policies in many low- and middle-income countries emphasize team-based approaches. While competencies (knowledge, skills, and attitudes) of specific health worker cadres have been identified, collective competencies of PHC teams have not been examined. Knowing these competencies will inform development …
Mapping the rare disease stakeholders in India
Rare diseases (RD) are not rare collectively, affecting around 300 million people globally and 96 million in India. These diseases have not been prioritized in most low- and middle-income countries’ health policies. India launched its first functional RD policy in 2021. Successful policy implementation requires the active participation of diverse stakeholders. In the context of rare diseases, such collaboration has been particularly instrumental …
Sexualized drug use, anxiety, depression, and suicidal ideation among men who have sex with men in Pakistan
Section 377 of the Pakistan Penal Code penalizes same-sex behavior with life imprisonment. There is a high degree of religious stigma against men who have sex with men (MSM) in Pakistan. The social and legal framework adds to the minority stress for MSM in Pakistan. We conducted a cross-sectional study aimed at examining the association of amphetamine-type stimulant (ATS) use with anxiety and depressive symptoms, and their association with suicid…
Advancing health policy and systems research and analysis
Health systems are at a crossroads. Globally, health systems are straining under the weight of responding to persistent and emergent challenges. Uncertainties in health financing, service delivery, new technologies and disease burdens are hindering health systems abilities to maximize collective and scaled action to achieve health equity and social justice. In March 2025, a group of health policy and systems experts were convened by an organizati…
A scoping review examining measurement of anti-transgender stigma in low- and middle-income countries
Globally, transgender and other gender diverse (trans) people experience widespread prejudice, discrimination, violence, and other forms of stigma, which contribute to negative health outcomes. Most anti-trans stigma research has been conducted in high-income countries. Measurement of anti-trans stigma in low- and middle-income countries (LMICs) is important for understanding and improving the health of trans populations globally. Accordingly, th…
A public health framework for reparations and generational healing in Haiti
Amid the dismantling of state structures in Haiti, the first Black republic faces significant health disparities compared to its former colonial power, France. These disparities include lower life expectancy (64.8 vs. 82.3 years) and higher infant and maternal mortality rates. The situation is further exacerbated by widespread mental health issues, severe food insecurity (50% acute vs. 37% moderate), and elevated homicide rates (13.35 vs. 1.35 pe…
Understanding the influence of power dynamics in intersectoral collaboration
Intersectoral Collaboration (ISC) involves multiple sectors working together to tackle complex challenges that no single sector can address alone. In global health, where interconnected issues demand holistic approaches, ISC aligns goals and resources to enhance effectiveness and equity. However, power dynamics within and between sectors can either foster synergy or create tensions, shaping ISC outcomes. This study explores how, why, for whom, in…
Associations between maternal capabilities for care and nurturing care behaviours among mother-child dyads in Malawi and South Africa
Adequate nurturing care behaviours, including feeding practices, health-seeking and psychosocial stimulation, are crucial for the optimal health, growth and development of young children. However, several factors, recognised as maternal ‘capabilities for care’, can influence a mother’s capability to provide adequate care, namely knowledge/beliefs, physical health and nutritional status, mental health, autonomy, reasonable workload/time availabili…
Programmatic mapping and population size estimation of key population in India
India has the world’s second-largest HIV burden. Key populations of female sex workers (FSW), men who have sex with men (MSM), hijra/transgender (H/TG) people, and people who inject drugs (PWID), are disproportionately affected by the HIV epidemic. A community-led programmatic mapping and population size estimation (PMPSE) was carried out in 651 districts of 32 States and Union Territories of India. The goal was to identify the hotspots, network …
Between rhetoric and reality
Despite national and regional efforts toward universal health coverage, Adivasi communities like the Soligas in Karnataka in India, continue to face barriers to dignified health care. This analysis explores how human dignity is upheld or neglected within formal, State-regulated health care services. It highlights the health care experiences of Soliga Adivasi communities in the Chamarajanagar district of Karnataka, Southern India, as they navigate…
Power dynamics and intersectoral collaboration for health in low- and middle-income countries
Intersectoral collaboration (ISC) is a critical strategy in global health for addressing complex challenges requiring multi-sectoral engagement. Although studies examined ISC in low- and middle-income countries (LMICs), gaps remain in understanding how power dynamics between stakeholders influence the effectiveness of ISC in these settings. This realist synthesis examines how, why, for whom, under what context, and to what extent power dynamics s…
A realist evaluation of the implementation of a national tobacco control programme and policy in India
There is a growing interest in studying and unpacking the implementation of policies and programmes as it provides an opportunity to reduce the policy translation time lag taken for research findings to translate into policies and be implemented and to understand why policies may fail. Realist evaluation is a theory-driven approach that embraces complexity and helps to identify the mechanisms generating the observed policy outcomes in a given con…
Shaping the future of global access to safe, effective, appropriate and quality health products
status: Published
Validation of ToucHb, a non-invasive haemoglobin estimation
Non-invasive methods for haemoglobin estimation hold enormous potential for early detection and treatment of anaemia, especially in limited resource settings. We sought to validate the diagnostic accuracy of ToucHb, a non-invasive haemoglobin estimation device available in the Indian market. We prospectively evaluated the diagnostic performance of the ToucHb device using the Automated complete blood count (CBC) method as the gold standard. Person…
“Ad hoc policy decisions” in the news
Modern agriculture relies on pesticides to maximise outputs. While many highly hazardous pesticides (HHPs) are banned in places like the European Union due to concerns about harm to the environment and human health, their use continues in many low- and middle-income counties (LMICs). Pesticide suicide is a public health problem unique to countries where HHPs are used, and Sri Lanka has successfully implemented several HHP bans as part of a suicid…
Prevalence of dyslipidemia, hypertension and diabetes among tribal and rural population in a south Indian forested region
While NCDs are in rise globally, tribal and rural populations residing near to reserve forests with limited exposure to modern lifestyles may bear a unique burden. This study investigates the prevalence and risk factors of hypertension, diabetes, and dyslipidemia among these communities. We conducted a cross-sectional study between 2018 and 2020 in the forest-dwelling population of Chamarajanagar, India. Using multistage stratified sampling based…
How can our children learn from us about our way of life or understand who they are
Residential schools are commonly used in India to provide education for Indigenous youth, which requires young people to stay for long periods at distance from their families and communities. Internationally, there is clear evidence for the deleterious effects of residential schools on the mental health and social and community outcomes of Indigenous children, however little is known about the Indian Indigenous experience. This study examined the…
Health systems performance for hypertension control using a cascade of care approach in South Africa, 2011–2017
Hypertension is a major contributor to global morbidity and mortality. In South Africa, the government has employed a whole systems approach to address the growing burden of non-communicable diseases. We used a novel incident care cascade approach to measure changes in the South African health system’s ability to manage hypertension between 2011 and 2017. We used data from Waves 1–5 of the National Income Dynamics Study (NIDS) to estimate trends …
The role of social vulnerability in improving interventions for neglected zoonotic diseases
Forest-based communities manage many risks to health and socio-economic welfare including the increasing threat of emerging zoonoses that are expected to disproportionately affect poor and marginalised groups, and further impair their precarious livelihoods, particularly in Low-and-Middle Income (LMIC) settings. Yet, there is a relative dearth of empirical research on the vulnerability and adaptation pathways of poor and marginalised groups facin…
A scoping review of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) people’s health in India
Amid incremental progress in establishing an enabling legal and policy environment for lesbian, gay, bisexual, transgender and queer-identified people, and people with intersex variations (LGBTQI+) in India, evidence gaps on LGBTQI+ health are of increasing concern. To that end, we conducted a scoping review to map and synthesize the current evidence base, identify research gaps, and provide recommendations for future research. We conducted a sco…
The politics of agricultural policy and nutrition
The concept of food and nutrition policy has broadened from simply being an aspect of health policy, to policy interventions from across a wide range of sectors, but still with potentially important impact on nutritional outcomes. This wider and more complex conceptualisation involves policy with multiple objectives and stakeholder influences. Thus, it becomes particularly important to understand the dynamics of these policy processes, including …
Maternal and paternal employment in agriculture and early childhood development
Considerable literature from low- and lower-middle-income countries (LLMICs) links maternal employment to child nutritional status. However, less is known about the role of parental employment and occupation type in shaping child development outcomes. Additionally, little empirical work has examined the mechanisms through which parental occupation influences child outcomes. Our objective was to investigate the associations between maternal and pa…
Spatializing stigma-power
In disadvantaged neighborhoods such as informal settlements (or “slums” in the Indian context), infrastructural deficits and social conditions have been associated with residents’ poor mental health. Within social determinants of health framework, spatial stigma, or negative portrayal and stereotyping of particular neighborhoods, has been identified as a contributor to health deficits, but remains under-examined in public health research and may …
Transforming medical education in Liberia through an international community of inquiry
A critical component of building capacity in Liberia’s physician workforce involves strengthening the country’s only medical school, A.M. Dogliotti School of Medicine. Beginning in 2015, senior health sector stakeholders in Liberia invited faculty and staff from U.S. academic institutions and non-governmental organizations to partner with them on improving undergraduate medical education in Liberia. Over the subsequent six years, the members of t…
Sharing results with participants (and community) in malaria related research
Results-sharing with participants or their communities after the completion of research is an essential element of ethical research. The main objective of this study was to identify and document current practice of trial result dissemination, to explore attitudes among trialists towards result dissemination and to better understand previous experiences and barriers to returning results to participants. This mixed-methods study used a sequential e…
How to develop a realist programme theory using Margaret Archer’s structure–agency–culture framework
Realist evaluation is in essence a theory-building and testing approach. We argue that in practice, the theory-building potential of realist evaluation, review and research is not fully exploited in the field of global health. Our assumption is that the Structure-Agency-Culture explanatory framework of critical realist Margaret Archer could stimulate realist evaluators to conceptualize and systematically explore how structural and cultural condit…
Increasing risks for emerging infectious diseases within a rapidly changing High Asia
The cold and arid mountains and plateaus of High Asia, inhabited by a relatively sparse human population, a high density of livestock, and wildlife such as the iconic snow leopard Panthera uncia , are usually considered low risk for disease outbreaks. However, based on current knowledge about drivers of disease emergence, we show that High Asia is rapidly developing conditions that favor increased emergence of infectious diseases and zoonoses. Th…
How can our children learn from us about our way of life or understand who they are
Residential schools are commonly used in India to provide education for Indigenous youth, which requires young people to stay for long periods at distance from their families and communities. Internationally, there is clear evidence for the deleterious effects of residential schools on the mental health and social and community outcomes of Indigenous children, however little is known about the Indian Indigenous experience. This study examined the…
The Covid-19 pandemic
It is very exceptional that a new disease becomes a true pandemic. Since its emergence in Wuhan, China, in late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, has spread to nearly all countries of the world in only a few months. However, in different countries, the COVID-19 epidemic takes variable shapes and forms in how it affects communities. Until now, the insights gained on COVID-19 have be…
“Together we move a mountain”
It was otherwise an unremarkable November bus ride from Antwerp to Montreux; cold, but in the rather warm company of early career researchers who were to soon become the first cohort of Emerging Voices for Global Health (EV4GH; http://www.ev4gh.net). On that ride, 52 early career health system researchers from 30 countries began a journey. Little did they know it would continue for over a decade, gathering in its wake, 208 more early career resea…
Sickle cell disease in India
INTRODUCTION: Sickle cell disease (SCD) disproportionately impacts Adivasi (tribal) communities in India. Current research has focused on epidemiological and biomedical aspects but there has been scarce research on social determinants and health systems aspects. Given its fragmented distribution, resources and programmes have emerged in west and central India. This scoping review seeks to identify geographical and evidence gaps for action on SCD …
The merit privilege
‘Personally, I rather look forward to a computer programme winning the world chess championship. Humanity needs a lesson in humility’, said Richard Dawkins, author and biologist, whose witty ripostes delivered with a signature smirk, typically directed at the religious, captivated my rational mind. These were the late 1990s. We were in our medical college hostel’s chit-chat corner where some of us with wide interests in science gathered every eve…
Beyond numbers, coverage and cost
box Crisis as an opportunity for change has been part of historical and development literature and is an oft-repeated theme. The Chinese word for crisis (危機), for example, consists of two symbols often characterised in popular literature as denoting ‘danger’ and ‘opportunity’.1 For India’s healthcare system, the COVID-19 crisis has highlighted the urgency of reform. We have learnt that no matter how long or how stringent a lockdown is, we cannot …
Multilevel governance framework on grievance redressal for patient rights violations in India
The notion of patient rights encompasses the obligations of the state and healthcare providers to respect the dignity, autonomy and equality of care-seeking individuals in healthcare processes. Functional patient grievance redressal systems are key to ensuring that the rights of individuals seeking healthcare are protected. We critically examined the published literature from high-income and upper-middle-income countries to establish an analytica…
An intersectional analysis of the composite index of anthropometric failures in India
The study shows social and eco-geographical clustering of multi-dimensional anthropometric failures and indicates the need for focused nutritional interventions among SC and ST community in general and ST children from the poor households. Furthermore, governance interventions that target entire regions across districts and states combined with decentralised planning are needed
Operationalising the “One Health” approach in India
Our findings point to the importance of strengthening existing national policy frameworks as a first step for leveraging cross-sectoral capacity for improved disease surveillance and interventions. This requires the contextual adaptation of the One Health approach in a manner that is sensitive to the underlying socio-political, institutional and cultural context that determines and shapes outcomes of cross-sector collaborative arrangements
How do tobacco control policies work in low-income and middle-income countries? A realist synthesis
BACKGROUND: The burden of tobacco use is disproportionately high in low- and middle-income countries (LMICs). There is scarce theorisation on what works with respect to implementation of tobacco control policies in these settings. Given the complex nature of tobacco control policy implementation, diversity in outcomes of widely implemented policies and the defining role of the context, we conducted a realist synthesis to examine tobacco control p…
Crying baby gets the milk? The governmentality of grievance redressal for patient rights violations in Karnataka, India
BACKGROUND: Patient rights aim to protect the dignity of healthcare-seeking individuals. Realisation of these rights is predicated on effective grievance redressal for the victims of patient rights violations. METHODS: We used a critical case (that yields the most information) of patient rights violations reported in Karnataka state (South India) to explore the power dynamics involved in resolving grievances raised by healthcare-seeking individua…
Alarming level of severe acute malnutrition in Indian districts
Over the last two decades, severe acute malnutrition (SAM) has been increasing in India despite favourable national-level economic growth. The latest round of the National Family Health Survey 5 (NFHS-5) results was released, allowing us to assess changes in the malnutrition trends. Analysis of the previous rounds of the NFHS (NFHS-4) has already shown disturbing levels of wasting, often co-occurring with other forms of anthropometric failures. T…
Assessment of Covid-19 data reporting in 100+ websites and apps in India
India is among the top three countries in the world both in COVID-19 case and death counts. With the pandemic far from over, timely, transparent, and accessible reporting of COVID-19 data continues to be critical for India’s pandemic efforts. We systematically analyze the quality of reporting of COVID-19 data in over one hundred government platforms (web and mobile) from India. Our analyses reveal a lack of granular data in the reporting of COVID…
Co-production of knowledge as part of a OneHealth approach to better control zoonotic diseases
There is increased global and national attention on the need for effective strategies to control zoonotic diseases. Quick, effective action is, however, hampered by poor evidence-bases and limited coordination between stakeholders from relevant sectors such as public and animal health, wildlife and forestry sectors at different scales, who may not usually work together. The OneHealth approach recognises the value of cross-sectoral evaluation of h…
Zoonoses and the Aboriginal and Torres Strait Islander population
With limited access to animal health services, and high disease burdens among domesticated animals, Aboriginal and Torres Strait Islander communities in Australia face higher risk of disease including zoonoses. However, we lack understanding of the contribution of often preventable zoonoses to the health of these communities, which would enable us to enhance public health strategies and improve health outcomes. We conducted a scoping review to id…
Effect of the Covid-19 pandemic on health service utilization across regions of Ethiopia
The spread of COVID-19 and associated deaths have remained low in Ethiopia. However, the pandemic could pose a public health crisis indirectly through disruptions in essential health services. The aim of this study was to examine disruptions in health service utilization during the first nine months of the COVID-19 pandemic across 10 regions in Ethiopia. We analyzed utilization of 21 different health services across all of Ethiopia (except the Ti…
The supply is there. So why can’t pregnant and breastfeeding women in rural India get the Covid-19 vaccine
Despite COVID-19 vaccines being available to pregnant women in India since summer 2021, little is known about vaccine uptake among this high need population. We conducted mixed methods research with pregnant and recently delivered rural women in northern India, consisting of 300 phone surveys and 15 in-depth interviews, in November 2021. Only about a third of respondents were vaccinated, however, about half of unvaccinated respondents reported th…
“They will say you want to make their home die”
The unmet need for family planning among conflict-affected populations is high globally, leaving girls and women vulnerable to unintended pregnancies and poor sexual and reproductive health outcomes. Ours is the first known mixed-methods study to assess the use of modern family planning (FP) methods amongst married or partnered South Sudanese refugee and host populations in Northern Uganda and to explore differences between them. We conducted a c…
Cultivating capacities in community-based researchers in low-resource settings
Participatory methods, which rely heavily on community-based data collectors, are growing in popularity to deliver much-needed evidence on violence and mental health in low- and middle-income countries. These settings, along with local researchers, encounter the highest burden of violence and mental ill-health, with the fewest resources to respond. Despite increased focus on wellbeing for research participants and, to a lesser degree, professiona…
Comparison of community and clinic-based blood pressure measurements
Hypertension (HTN) is the leading modifiable cardiovascular disease (CVD) risk factor in low and middle-income countries, and accurate and accessible blood pressure (BP) measurement is essential for identifying persons at risk. Given the convenience and increased use of community BP screening programs in low-income settings, we compared community and clinic BP measurements for participants in the Haiti CVD Cohort Study to determine the concordanc…
Overcoming structural barriers to sharing power with communities in global health research priority-setting
Community engagement is gaining prominence in global health research. But communities rarely have a say in the agendas or conduct of the very health research projects that aim to help them. This paper provides new evidence on how to share power in priority-setting in ways that seek to overcome structural constraints created by the funding environment. The five strategies were identified through case study research on the Participation for Local A…
How is inclusiveness in health systems research priority-setting affected when community organizations lead the process
Community engagement is gaining prominence in health research. But communities rarely have a say in the agendas or conduct of the very health research projects that aim to help them. One way thought to achieve greater inclusion for communities throughout health research projects, including during priority-setting, is for researchers to partner with community organizations (COs). This paper provides initial empirical evidence as to the complexitie…
Increasing risks for emerging infectious diseases within a rapidly changing High Asia
The cold and arid mountains and plateaus of High Asia, inhabited by a relatively sparse human population, a high density of livestock, and wildlife such as the iconic snow leopard Panthera uncia , are usually considered low risk for disease outbreaks. However, based on current knowledge about drivers of disease emergence, we show that High Asia is rapidly developing conditions that favor increased emergence of infectious diseases and zoonoses. Th…
Health systems performance for hypertension control using a cascade of care approach in South Africa, 2011–2017
Hypertension is a major contributor to global morbidity and mortality. In South Africa, the government has employed a whole systems approach to address the growing burden of non-communicable diseases. We used a novel incident care cascade approach to measure changes in the South African health system’s ability to manage hypertension between 2011 and 2017. We used data from Waves 1–5 of the National Income Dynamics Study (NIDS) to estimate trends …
The role of social vulnerability in improving interventions for neglected zoonotic diseases
Forest-based communities manage many risks to health and socio-economic welfare including the increasing threat of emerging zoonoses that are expected to disproportionately affect poor and marginalised groups, and further impair their precarious livelihoods, particularly in Low-and-Middle Income (LMIC) settings. Yet, there is a relative dearth of empirical research on the vulnerability and adaptation pathways of poor and marginalised groups facin…
A scoping review of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) people’s health in India
Amid incremental progress in establishing an enabling legal and policy environment for lesbian, gay, bisexual, transgender and queer-identified people, and people with intersex variations (LGBTQI+) in India, evidence gaps on LGBTQI+ health are of increasing concern. To that end, we conducted a scoping review to map and synthesize the current evidence base, identify research gaps, and provide recommendations for future research. We conducted a sco…
Medicine (31 obras) · Political science (20 obras) · Environmental health (17 obras) · Sociology (17 obras) · Geography (14 obras) · Public health (14 obras) · Economic growth (13 obras) · Health care (12 obras) · Nursing (12 obras) · Population (12 obras)