Frederick Satiro Vaz, Archana M Desai, Ariarathinam Newtonraj, Jaya Prasad Tripathy, Manish N Gaunekar, Govind Desai, Bhargav Sawant Desai, Dineshrajan Vadivel
{"title":"Unraveling the Suboptimal Tuberculosis Score in South Goa: A Qualitative Exploration of Reasons and Solutions.","authors":"Frederick Satiro Vaz, Archana M Desai, Ariarathinam Newtonraj, Jaya Prasad Tripathy, Manish N Gaunekar, Govind Desai, Bhargav Sawant Desai, Dineshrajan Vadivel","doi":"10.4103/ijph.ijph_12_25","DOIUrl":"10.4103/ijph.ijph_12_25","url":null,"abstract":"<p><strong>Background: </strong>The tuberculosis (TB) score, a composite score based on nine domains of TB care and management, optimally should be more than 80 points. However, in the South Goa district in Goa, India, the TB score has been consistently below this level. Improving the TB score would help improve program implementation.</p><p><strong>Objectives: </strong>The objective of the study was to identify reasons and solutions for sub-optimal TB score in South Goa.</p><p><strong>Materials and methods: </strong>Through a sequential exploratory mixed methods study design, using the quantitative data from the \"sub-national certification of progress towards TB free status\" exercise conducted in India and qualitative data obtained from the National Tuberculosis Elimination Programme (NTEP) functionaries within the South Goa district, \"Achievement Gap\" in TB score, reasons and solutions were explored. Qualitative exploration was through key informant interviews and the nominal group technique. Manual coding and descriptive content analysis were done, followed by the development of codes and themes.</p><p><strong>Results: </strong>Weighted ranking of \"achievement gap\" identified five poorly performing TB domains. Reasons for suboptimal TB score were poor knowledge and awareness about TB and NTEP, Social factors, challenges in NTEP implementation at the level of diagnosis of TB and management of TB and various administrative issues. Solutions identified included training of health staff, awareness campaigns, recruitment of staff to vacant posts, an effective system for monitoring and supervision of NTEP implementation, resolving administrative issues, solving transportation issues and reduction of delays at various levels.</p><p><strong>Conclusion: </strong>Practical, simple local solutions could be generated from within the NTEP which are likely to be acceptable, easily implemented in a time-bound manner.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Book Review of 'Epidemiology and Management For Health Care' Edition: Seventh Publisher: Vora Medical Publications, Mumbai, India.","authors":"Jayashree Gothankar","doi":"10.4103/ijph.ijph_991_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_991_25","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gyan Chandra Kashyap, D Chandini, Nihal Chandra Kashyap, Subhagata Chattopadhyay
{"title":"Impact of Goods and Services Tax 2.0 Reforms on Tobacco Products in India: A Policy Perspective.","authors":"Gyan Chandra Kashyap, D Chandini, Nihal Chandra Kashyap, Subhagata Chattopadhyay","doi":"10.4103/ijph.ijph_1209_25","DOIUrl":"10.4103/ijph.ijph_1209_25","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Community Environment on Depression among Elderly Residents: A Perspective from the \"Environment-Psychology-Culture\" Coevolution Model.","authors":"Xiaowen Li, Benxian Yao, Hao Xu, Yu Liu, Qing Li, Weilin Zhu","doi":"10.4103/ijph.ijph_911_23","DOIUrl":"10.4103/ijph.ijph_911_23","url":null,"abstract":"<p><strong>Background: </strong>Contrary to much of the existing research on elderly depression that primarily focuses on individual psychology while overlooking the interplay of natural environment and sociocultural factors, this study integrates the research subject into the \"Environment-Psychology-Culture\" coevolution model.</p><p><strong>Objectives: </strong>This study aims to develop a comprehensive understanding of how natural environments and social cultures intersectionally influence depression in elderly individuals.</p><p><strong>Materials and methods: </strong>Leveraging questionnaire data from 34 communities in Shanghai, alongside remote sensing and urban Points of Interest data, this study employs a multilevel model to decompose the community environment into several endogenous variables and examine the relationships among community environment, residential satisfaction, and elderly depression, while quantifying the varying effects across different social groups.</p><p><strong>Results: </strong>The study reveals that (1) the community environment comprises three endogenous variables: environmental perception, neighborhood effects, and built environment; (2) a significant correlation exists between the community environment and geriatric depression, with residential satisfaction serving as a mitigating factor; and (3) the impact of the community environment on psychological health significantly varies across different income and residential groups.</p><p><strong>Conclusion: </strong>This study contributes to empirical research on community environments and mental health from an environmental psychology perspective, providing a scientific foundation for enhancing the mental health of elderly residents and fostering healthier communities.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shobha Prasada, M Shalini Shenoy, B Dhanashree, M Suchitra Shenoy, Deepak R Madi, K Gopalakrishna Bhat
{"title":"Antibiotic Resistance, Risk Factors, and Clinical Outcome of Enterococcal Bloodstream Infection in Tertiary Care Hospitals in Coastal Karnataka, India.","authors":"Shobha Prasada, M Shalini Shenoy, B Dhanashree, M Suchitra Shenoy, Deepak R Madi, K Gopalakrishna Bhat","doi":"10.4103/ijph.ijph_432_25","DOIUrl":"10.4103/ijph.ijph_432_25","url":null,"abstract":"<p><strong>Background: </strong>Enterococcal bloodstream infections (BSIs) cause substantial morbidity and mortality, with rising multidrug resistance, particularly vancomycin-resistant enterococci (VRE), complicating management.</p><p><strong>Objectives: </strong>To study antimicrobial resistance, risk factors, and clinical outcomes of enterococcal BSIs in tertiary care hospitals.</p><p><strong>Materials and methods: </strong>This prospective study (July 2021-June 2022) included 67 patients with enterococcal bacteremia. Demographic and clinical data, comorbidities, and outcomes were analysed. Antimicrobial susceptibility testing, vancomycin MIC determination, and molecular detection of VRE were performed.</p><p><strong>Results: </strong>Among the 67 patients, the mean age was 54.1 years, and 35 patients had comorbidities, predominantly diabetes mellitus and chronic kidney disease. Isolates included Enterococcus faecalis (37) and Enterococcus faecium (27). Vancomycin resistance was detected in 13 isolates, mainly E. faecium . Mortality was significantly higher in VRE infections than in VSE ( P = 0.037), with overall mortality of 43.2%.</p><p><strong>Conclusions: </strong>E. faecium showed higher resistance and mortality. Injudicious use of meropenem and fluoroquinolones may promote VRE selection, underscoring the need for robust antimicrobial stewardship.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validation of the Hindi-Translated Newcastle Asthma Knowledge Questionnaire among Parents of Children with Bronchial Asthma.","authors":"Shalini Verma, Shally Awasthi, Sarika Gupta","doi":"10.4103/ijph.ijph_743_24","DOIUrl":"https://doi.org/10.4103/ijph.ijph_743_24","url":null,"abstract":"<p><strong>Introduction: </strong>Asthma education among caregivers is an integral part of asthma management. The study validates the Hindi version of the Newcastle Asthma Knowledge Questionnaire (NAKQ).</p><p><strong>Methods: </strong>This was a pilot study conducted among 100 parents of children between 7 and 15 years with bronchial asthma. The original English NAKQ tool was forward and back translated into Hindi. A face-to-face interview was conducted to administer the tool. Exploratory factor analysis (EFA) and confirmatory factor analysis were carried out to understand the factor structure, construct, validity, and reliability of the questionnaire.</p><p><strong>Results: </strong>The Cronbach's alpha value was 0.641. The Hindi NAKQ was factorable as demonstrated by a significant Bartlett's test of sphericity. The EFA revealed a four-factor solution explaining 22.5% of the variance. The construct validity showed that items 4, 7, 14, and 17 had poor correlation (of the total 31 items) with the overall scale score (<0.2), and therefore, the items were deleted. Using the four factors with all 27 items, a statistical model was generated with a good fit, as indicated by a root mean square error of approximation (RMSEA) value of 0.0546, which was close to the acceptable cutoff of 0.06.</p><p><strong>Conclusion: </strong>The Hindi-translated version of NAKQ tool is reliable and valid to be administered among the Indian participants.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long Coronavirus Disease 2019 and its Association with Noncommunicable Diseases: A Bibliometric Analysis.","authors":"Debdutta Haldar, Himanshu Shekhar Rout, Shibaji Gupta, Sumanta Chakraborty, Sonu Goel","doi":"10.4103/ijph.ijph_1326_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_1326_25","url":null,"abstract":"<p><strong>Background: </strong>Long coronavirus disease 2019 (COVID-19), or post-acute sequelae of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) infection, has emerged as a major global health concern. Its relationship with noncommunicable diseases (NCDs) remains underexplored despite overlapping pathophysiological pathways.</p><p><strong>Objectives: </strong>This bibliometric analysis evaluates global research trends, key contributors, and thematic clusters at the intersection of long COVID-19 and NCDs.</p><p><strong>Materials and methods: </strong>A comprehensive search was conducted in Scopus and Web of Science databases using relevant MeSH and/or keyword combinations. Bibliometric indicators including publication trends, prolific authors and country collaboration networks analyzed using VOSviewer and R Bibliometrix.</p><p><strong>Results: </strong>Fifty-five relevant publications were identified between 2020 and 2024. Research activity peaked in 2023, dominated by studies on cardiovascular, metabolic, and respiratory comorbidities. Collaboration networks showed strong contributions from China, the United States, and the United Kingdom. However, limited representation was observed from low- and middle-income countries (LMICs).</p><p><strong>Conclusion: </strong>This bibliometric analysis highlights a growing but uneven global research landscape linking long COVID-19 and NCDs. Cardiovascular and metabolic disorders have received significant attention, whereas neurological and oncological sequelae remain underinvestigated. Future research must strengthen interdisciplinary collaboration and address the inequitable participation of LMICs.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Should the Indian National Health Program Miss the Opportunity of Vaccinating Women for Human Papillomavirus, Especially Those Living with HIV/AIDS, after Treating Them for Preinvasive/Invasive Cervical Cancers?","authors":"Neeru Gupta, Amit Aggarwal, Neeta Kumar, K K Jani","doi":"10.4103/ijph.ijph_799_24","DOIUrl":"https://doi.org/10.4103/ijph.ijph_799_24","url":null,"abstract":"","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mubashir S Angolkar, Ashwini B Narasannavar, Rajan Rajesh, Pooja Sharma, Turaga Suryaprabha, A Prabhu Shruti, Medes Marita, V Tekkalaki Bheemsain, Naresh Sharma
{"title":"Migraine: Innovation in Treatment, Policy Support, and Patient Perspectives.","authors":"Mubashir S Angolkar, Ashwini B Narasannavar, Rajan Rajesh, Pooja Sharma, Turaga Suryaprabha, A Prabhu Shruti, Medes Marita, V Tekkalaki Bheemsain, Naresh Sharma","doi":"10.4103/ijph.ijph_1070_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_1070_25","url":null,"abstract":"<p><strong>Summary: </strong>Migraine is a chronic neurological disorder and a leading cause of disability worldwide. In India, it poses a significant public health challenge, with prevalence estimates ranging from 14% to 28.7%. The objective of the work was to assess the epidemiological burden of migraine in India and critically examine clinical, social, and infrastructural challenges impacting its management and policy support. A narrative review of peer-reviewed literature published between 2015 and 2025 was conducted using PubMed, Scopus, and Web of Science, focusing on migraine diagnosis, treatment advances, and policy frameworks. Searches included terms such as \"early diagnosis,\" \"medication overuse headache,\" \"policy support,\" and \"novel migraine therapies,\" prioritizing systematic reviews and meta-analyses. Expert insights were also incorporated through thematic analysis of discussions from a dedicated migraine session at the 69 th Annual National Conference of the Indian Public Health Association (March 2025, Belagavi). The results demonstrate that migraine affects over 213 million individuals in India, disproportionately impacting women and working-age populations. Current therapeutic approaches lack personalization, and access to innovative treatments remains limited due to regulatory and insurance gaps. Policy neglect and sociocultural stigma exacerbate disease burden. This report highlights the debilitating nature of Migraine and the associated economic loss in India, which remains under-recognized in policy and insurance frameworks. A multidisciplinary, patient-centered approach integrating clinical innovation, policy reform, and mental health support is found to be the need of the hour.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148162756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}