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CHANDA, RUPA. "INDIA AND SERVICES OUTSOURCING IN ASIA". Singapore Economic Review 53, nr 03 (grudzień 2008): 419–47. http://dx.doi.org/10.1142/s0217590808003051.
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This paper examines India's role in services outsourcing within Asia. It provides a brief overview of the global as well as Indian services outsourcing industry. The core section examines India's relationship with other Asian countries such as China, the Philippines, Vietnam, and Malaysia in service outsourcing. It examines the extent to which these countries pose a competitive challenge to India and concludes that at this time, India is far ahead although it is likely to face growing competition as its costs rise. The paper highlights the need to move beyond this comparative paradigm and to examine the complementary and collaborative opportunities that exist between India and other Asian countries in services outsourcing. It concludes that there is considerable scope for such synergies and that India and other Asian countries can form different parts of a larger regional or global delivery model. Regional and bilateral agreements within Asia can also facilitate this process.
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Saha, Somen, Raj Panda i Gaurav Kumar. "Public-private partnership in health care of India: A review of governance and stewardship issues". Journal of Comprehensive Health 6, nr 1 (30.06.2018): 02–08. http://dx.doi.org/10.53553/jch.v06i01.002.
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Indian health care is characterized by a mixed health system and different kinds of delivery structure. Mixed health systems can be defined as involving ‘centrally planned government health services that operate side-by-side with private markets for similar or complementary products and services’.1 Public health care delivery system includes teaching hospitals, secondary level hospitals (at district and subdivisional level), first-level referral hospitals (community health centres/rural hospitals), dispensaries, primary health centres, sub-centres and health posts. The private sector, both for-profit and not for profit, however, is the dominant sector and services range from 2-bed facilities to 1000+ bed hospitals.2The private provisioning of health care has grown from a mere 5 to 10 percent during India’s independence era to 82 percent of outpatient visit, 52 percent of inpatient expenditure, and 40 percent of births in institution.3 A report of the task force on Medical Education for the National Rural Health Mission in India determined that the private sector provides 58 percent of hospital buildings, 29 percent hospital beds, and 81 percent of the doctors in India.
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RAO, S. V. N., V. RASHEED SULAIMAN, K. NATCHIMUTHU, S. RAMKUMAR i P. V. K. SASIDHAR. "Improving the delivery of veterinary services in India". Revue Scientifique et Technique de l'OIE 34, nr 3 (1.12.2015): 767–77. http://dx.doi.org/10.20506/rst.34.3.2394.
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Idris, Fazli, i M. Muzamil Naqshbandi. "Exploring competitive priorities in the service sector: evidence from India". International Journal of Quality and Service Sciences 11, nr 2 (12.06.2019): 167–86. http://dx.doi.org/10.1108/ijqss-02-2018-0021.
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Purpose The purpose of this study is to explain the components of competitive priorities of Indian service firms, to find out the competitive priorities of different service industries in India and to find out how these competitive priorities change across low- and high-performing service firms. Design/methodology/approach An empirical study of 166 firms from five different service industries is undertaken in New Delhi and its surroundings. Findings The results reveal the presence of three competitive priorities in the services sector in India: cost, flexibility and quality/delivery, with quality/delivery being the most distinctive competitive priority. Hotel and auto-repair industries are found to be focused on controlling costs, while hospitals, banks and private colleges prioritized quality/delivery. For high-performing firms, cost is the top most competitive priority, followed by quality/delivery and flexibility, while for low-performing firms, quality/delivery remains the top most competitive priority, followed by flexibility and cost. Originality/value The paper enhances the understanding of competitive priorities in the Indian services sector. The identification of competitive priorities of different service industries in India and their dynamics across different industries add value to the current literature and fill an important research gap. Additionally, surveying diverse industries in this paper reveals a holistic picture of the Indian service industry and helps achieve some degree of cross-industry perspective.
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Raddi, SA, i SR Dandgi. "Comparison of Midwifery Services in India and Sweden". Journal of South Asian Federation of Obstetrics and Gynaecology 4, nr 1 (2012): 71–73. http://dx.doi.org/10.5005/jp-journals-10006-1178.
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ABSTRACT The objective of the paper is to know how India can strengthen midwifery service to reduce maternal mortality based on the lesson learnt from Sweden and India. High maternal mortality in India is due to absence of skilled attendance at the time of delivery and poor postnatal care. Seventy percent Indian population is rural and it is not possible to have doctors for all births. Adopting evidence-based interventions, such as developing a skilled cadre of locally available midwives backed up by efficient referral and emergency obstetric are service like Sweden and India will help to achieve the goal of reducing maternal mortality with the existing resources. Creating the scope for career advancement will help to improve status of midwifery as a profession. How to cite this article Raddi SA, Dandgi SR. Comparison of Midwifery Services in India and Sweden. J South Asian Feder Obst Gynae 2012;4(1):71-73.
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Dimri, Anil K., i Amit Chaturvedi. "HIERARCHY OF E-LEARNING DELIVERY MECHANISM: A PARADIGM SHIFT". Asian Association of Open Universities Journal 2, nr 1 (1.03.2006): 66–75. http://dx.doi.org/10.1108/aaouj-02-01-2006-b007.
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In the present paper an attempt has been made to develop an e- learning programme delivery mechanism model for distance mode of learning so that effective student support services could be ensured by making online learning possible in the diversified socio-economic and geo-physical settings of a country like India. The paper also seeks to analyze the growth of the distance and open learning in India with special reference to Indira Gandhi National Open University. Attempt has also been made to analyze the delivery mechanism of IGNOU for providing better students support services. The paper finally concludes that networking of the system through information and communication technology will not only reduce the operational cost to a great extent, particularly in the long ran, but also bring revolution in the field of higher education in a developing country like India by ensuring effective and efficient online learning to those having poor access to electronic mode of learning.
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Gulia, Seema, Manju Sengar, Rajendra Badwe i Sudeep Gupta. "National Cancer Control Programme in India: Proposal for Organization of Chemotherapy and Systemic Therapy Services". Journal of Global Oncology 3, nr 3 (czerwiec 2017): 271–74. http://dx.doi.org/10.1200/jgo.2015.001818.
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Cancer is a major health problem in India, with an estimated incidence of 1 million cases in 2012 that is likely to double in 2035 to approximately 1.7 million. The majority of cases are diagnosed in advanced stages, and approximately two thirds of patients die as a result of their disease. The mortality-to-incidence ratio is 0.68 in India, which is far higher than that in developed countries (approximately 0.38). One of the important reasons for this discrepancy is inequitable distribution and inaccessibility of health care resources in India. One component of scarce health care resources is the low ratio of oncologists to patients with cancer (1:2,000), which leads to delivery of systemic anticancer therapy in many hospitals by health care professionals who do not have required training. Given these facts, there is a need to focus on organization of medical oncology services in terms of manpower and infrastructure to standardize the delivery of systemic anticancer therapy. Redistribution of resources can streamline the delivery of cancer care, preferably close to the patient’s home. This article describes the blueprint for organization of medical oncology services and delivery of chemotherapy and other systemic therapies to Indian patients. The model uses existing health care services in the country and is a four-tiered system of increasing sophistication: District Hospitals, Medical College Hospitals, Regional Cancer Centres, and Apex Cancer Centres. Delivery of quality care to patients with cancer through standardized protocols is crucial in improving cancer outcomes in India.
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Anvekar, Sandhya. "Courier Services in India: Concerns for Effective Service Delivery". Ushus - Journal of Business Management 6, nr 2 (11.06.2007): 83–90. http://dx.doi.org/10.12725/ujbm.11.8.
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The courier industry in India is like a vital link of communication between persons and corporations meant for individual and industrial benefits. It is an industry worth Rs. 50 billions and is on steady pace of development. More than 2300 courier companies operating in India, it is a challenge for the service provider of courier services to be unique, competent and provide effective service delivery.
An insight into the crucial and critical incidents of service failure and strategizing by closing these failures will ensure effective service deliveries by the courier service providers. A trained and skilled front stage personnel, committed delivery boys/runners and efficient distribution networking can enable the courier service operators to provide failure free effective service delivery.
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Barman, Bikash, i Pradip Chouhan. "Role of Antenatal Care (ANC) Services on Safe Delivery among the Indian Women: An Investigation from the Nationally Representative Survey". International Journal of Current Research and Review 15, nr 07 (2023): 07–17. http://dx.doi.org/10.31782/ijcrr.2023.15702.
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Introduction: Maternal mortality and infant mortality is now act as a danger issue all over the world and the whole world trying to combat these problems by improving the treatment-seeking behaviour at the time of pregnancy as well as improving the facility for delivery at an institution which is comparatively safe than the home delivery. Aim/Objective: The present study gives more attention to the role of antenatal care (treatment-seeking behaviour during pregnancy) on safe delivery (institutional delivery by the skilled birth attendant (SBA) among Indian mothers aged 15-49 years. Methodology: The entire study depends on secondary data collected from the National Family Health Survey (NFHS)-4 in the year 2015-16 in India which was conducted on 1,89,898 women having the age group of 15-49 years. For the proper depiction of the result, bivariate (Pearson’s Chi-square) and multivariate (BLR model) has been conducted. Results: The bivariate and multivariate analysis stated that there were significant variations in the likelihood of being delivered at an institution by the SBA and BLR model showing that there was a significant role of antenatal care in the safe delivery in India though there were also other determinants for safe delivery, the antenatal care was a key indicator for the safe delivery for both mother and newborn baby. Conclusion: This study concluded that the proper utilization of antenatal care services should be given more importance because ANC services is necessary for safe delivery among the women which helps to reduce delivery complications and risk of new born health vulnerability
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PRAKASH, RAVI, i ABHISHEK KUMAR. "URBAN POVERTY AND UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES IN INDIA". Journal of Biosocial Science 45, nr 4 (15.02.2013): 433–49. http://dx.doi.org/10.1017/s0021932012000831.
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SummaryDrawing upon data from the third round of the National Family Health Survey (NFHS-3) conducted in India during 2005–06, this study compares the utilization of selected maternal and child health care services between the urban poor and non-poor in India and across selected Indian states. A wealth index was created, separately for urban areas, using Principal Component Analysis to identify the urban poor. The findings suggest that the indicators of maternal and child health care are worse among the urban poor than in their non-poor counterparts. For instance, the levels of antenatal care, safe delivery and childhood vaccinations are much lower among the urban poor than non-poor, especially in socioeconomically disadvantageous states. Among all the maternal and child health care indicators, the non-poor/poor difference is most pronounced for delivery care in the country and across the states. Other than poverty status, utilization of antenatal services by mothers increases the chances of safe delivery and child immunization at both national and sub-national levels. The poverty status of the household emerged as a significant barrier to utilization of health care services in urban India.
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P, Vinish, Prakash Pinto, Iqbal Thonse Hawaldar i Slima Pinto. "Antecedents of behavioral intention to use online food delivery services: an empirical investigation". Innovative Marketing 17, nr 1 (13.01.2021): 1–15. http://dx.doi.org/10.21511/im.17(1).2020.01.
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The online food delivery market in India perseveres to grow at a sustained pace. The business has unique dynamics and challenges with the spike in orders during weekends, meeting delivery schedules during peak demand, offering deep discounts to address wavering customer loyalty, reducing cash burns, and managing food quality inconsistency. In contrast, the fast-paced life and the rise of millennials in the workforce is likely to assure a promising future for the food aggregators. The above backdrop has led the researchers to pursue this study. An empirical study was carried out to explore the consumption occasion and the antecedents of online food ordering in the select cities in Karnataka, India. The data was collected from 385 respondents through telephonic and mail survey using a structured questionnaire. The responses were analyzed using exploratory factor analysis and multiple regression. The result of the study indicated a positive association between the constructs ‘buying motives’, ‘aggregator attractiveness’, and customer satisfaction. The variation in customers` satisfaction is largely attributable to the convenience of order placing, food quality, availability of food and restaurant reviews, offers and discounts, faster home delivery, and the wide choice of restaurants listed on the aggregator’s website. Additionally, the aggregator attractiveness showed a higher impact on customer satisfaction as compared to buying motives.
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Amritesh, Subhas C. Misra i Jayanta Chatterjee. "Applying Gap Model for Bringing Effectiveness to e-Government Services". International Journal of Electronic Government Research 9, nr 3 (lipiec 2013): 43–57. http://dx.doi.org/10.4018/jegr.2013070103.
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Taking the means-ends approach to e-governance service quality the authors adopt the Parasuraman’s ‘Gap Model’ to evaluate the antecedents of service performance in an Indian context of government-to-citizen (G2C) service deployment under the national e-governance plan (NeGP) of India. This e-governance initiative in India has been implemented at multiple tiers of the government that integrates administration and service processes at different levels that includes center, state, district, block, and further to the lowest level of governance unit (Panchayat). The authors acknowledge five levels of potential service discrepancies across the service delivery chain, from designing the service policy to achieving citizen satisfaction. These are service conceptualization, service design, service capacity, service offering, and service consumption. Corresponding to these discrepancies, the authors explain six types of potential gaps in e-governance G2C service context: Assessment Gap, Design Gap, Capacity Gap, External Communication Gap, Delivery Gap, and Service Gap. Preliminary strategies to close these gaps are also proposed.
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RAM, FAUJDAR, i ABHISHEK SINGH. "IS ANTENATAL CARE EFFECTIVE IN IMPROVING MATERNAL HEALTH IN RURAL UTTAR PRADESH? EVIDENCE FROM A DISTRICT LEVEL HOUSEHOLD SURVEY". Journal of Biosocial Science 38, nr 4 (8.09.2005): 433–48. http://dx.doi.org/10.1017/s0021932005026453.
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Data from the District Level Household Survey (2002) conducted by the Reproductive and Child Health Project in India has been used to examine the impact of utilization of antenatal care services on improvement in maternal health in rural areas of Uttar Pradesh, India. Multilevel analysis shows that after controlling for other socioeconomic and demographic factors, utilization of antenatal care services may lead to the utilization of other maternal health related services such as institutional delivery, delivery assisted by trained professionals, seeking advice for pregnancy complications, and seeking advice for post-delivery complications. There is strong clustering of utilization of services within the primary sampling units (i.e. villages) and districts.
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Barman, Debjani, Lalitha Vadrevu i Divya Vyas. "Determinants of Childbirth Assistance in the Remote Islands of the Indian Sundarbans". Journal of Health Management 18, nr 4 (grudzień 2016): 523–35. http://dx.doi.org/10.1177/0972063416666123.
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Background: India contributes to almost 70 percent of the maternal mortality in South East Asia. Improving access to skilled attendance at birth is crucial for addressing the issue of maternal deaths in the Indian context while majority of women deliver her child at home. Several issues of inaccessibility due to cost, distance, and lack of services still persist. The present research article, thus, discusses the determinants of child delivery care practices in a rural region like the Sundarbans in West Bengal, India. Methods: A household survey was conducted in the Patharpratima block of the Indian Sundarbans. A total of 1200 households were sampled using a two stage cluster sampling from 30 villages. Mothers were interviewed regarding child delivery practice of their youngest child along with other socio-demographic variables. Data analysis involves a multinomial logistic regression using STATA IC 10. Results: Child Delivery was assisted by formal providers in 48 percent of the cases, by informal providers in 30 percent cases and friends or relatives in 22 percent cases. Geographical location of the household, caste and religion, mother’s education and birth order were statistically significant predictors. Conclusion: Sundarbans as geographically isolated rural regions of the country face serious issue of inaccessibility. Following it high preference for home delivery and henceforth higher dependence on unskilled personnel for delivery in the region calls for specific plans to address the inaccessibility issue.
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Dalal, P. M. "Cerebrovascular disease in India—Organisation and delivery of neurological services". Journal of Stroke and Cerebrovascular Diseases 6, nr 6 (październik 1997): 454. http://dx.doi.org/10.1016/s1052-3057(97)80117-6.
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Singh, Nirvikar. "Decentralization And Public Delivery Of Health Care Services In India". Health Affairs 27, nr 4 (lipiec 2008): 991–1001. http://dx.doi.org/10.1377/hlthaff.27.4.991.
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Spencer, Debbie, i Lorraine Page. "The organization and delivery of palliative care services in India". International Journal of Palliative Nursing 2, nr 3 (2.07.1996): 149–53. http://dx.doi.org/10.12968/ijpn.1996.2.3.149.
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Ray, Subhajyoti. "An Approach to Assessing Quality of Electronic Government Services". International Journal of Electronic Government Research 6, nr 4 (październik 2010): 45–57. http://dx.doi.org/10.4018/jegr.2010100104.
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The emergence of e-Government in developing countries has led to the discovery of many innovative ways of public service delivery to citizens and businesses. India has chosen the common service center based service delivery model, where multiple services from single or multiple government agencies can be obtained in one location. However, the assessment quality of service at these centers, especially in comparison to the quality of service delivery under manually run operations has not been addressed in literature. In this paper, the authors propose and demonstrate a method to evaluate the quality of service at common service centers by exploring the case of an urban local body in India. Specifically, the paper uses the Analytic Hierarchy Method to assess quality improvements and discusses the implications for public managers.
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Et. al., Barakath Ali Shaik Mohamed,. "A Study to Analyze the Impact of Knowledge Management (KM) practices in IT Service Delivery Industry in India". Turkish Journal of Computer and Mathematics Education (TURCOMAT) 12, nr 4 (11.04.2021): 182–93. http://dx.doi.org/10.17762/turcomat.v12i4.490.
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Information Technology (IT) Industry in India is growing fast. Organizations across the world are outsourcing the IT services to take advantage of cost and time differences. India plays vital role in supporting the outsourcing services by taking advantage of the language skills and skilled workforce. Knowledge Management (KM) is critical for the continuity of the services and success of the organisations in different domains. This paper analysis the impact of Knowledge Management in Information Technology (IT) Service Delivery Industry in India. The study reveals Knowledge Management improves the performance of the Service Delivery organization. Methodical implementation and continuous improvement of Knowledge Management practices would further accelerate and improve the customer experience.
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Prætorius, Thim, Atanu Chaudhuri, S. Venkataramanaiah, Peter Hasle i Ajai Singh. "Achieving Better Integration in Trauma Care Delivery in India". Journal of Health Management 20, nr 3 (6.07.2018): 234–54. http://dx.doi.org/10.1177/0972063418779896.
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Interdependencies among healthcare providers result in complex healthcare supply chains with fragmented healthcare processes characterized by coordination failure and incentive misalignment. In developing countries where resources are scarce such coordination failures can have a severe impact on patient health. However, limited knowledge exists about how coordination takes place across and within the different healthcare service providers and how this influences hospital transfer time and length of stay. This article research this gap by studying trauma care delivery in India using a patient survey ( n = 104). The Indian healthcare system is insightful because India has to provide low-cost care to large populations living in geographically big areas and the healthcare infrastructure struggles to meet increasing demands. The findings suggest mechanisms to better integrate the processes from the accident site to the hospital which include setting up referral processes, 24-hour ambulance services, using third-party coordinators and process improvement within the hospital following lean principles.
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Kaur, S., R. Gupta, I. D. Khan, S. Jindal, S. Prajapati, A. Makkar i K. S. Rajmohan. "INFRASTRUCTURE, RESOURCES, SERVICES EVALUATION AND GAP ANALYSIS OF INTEGRATED MATERNAL AND CHILD DEVELOPMENT SERVICES IN INDIA". International Journal of Medicine and Medical Research 4, nr 2 (1.03.2019): 67–71. http://dx.doi.org/10.11603/ijmmr.2413-6077.2018.2.9286.
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Background. Integrated Child Development Services (ICDS) is an Indian community-centric government program organized under Anganwadi centres catering to supplementary nutrition, health and preschool education, primary healthcare, growth monitoring and counselling the children under six years old along with their mothers. It is the world’s largest outreach program in a developing country covering a population of 1.35 billion; the variations in service delivery were analysed involving cross-sectional rural and urban Anganwadi centers in New Delhi.
Methods. Data were collected by assessment of children and mothers, interview of Anganwadi workers and observation of service delivery parameters and conduction of activities. Infrastructural, beneficiaries, services and content were evaluated by a suitable pre-tested questionnaire based on the National Institute of Public Cooperation and Child Development (NIPCCD) evaluation proforma. The data was analysed by a descriptive statistics.
Results. Gaps were found in respect of infrastructure, resources, health and nutrition facilities especially at rural Anganwadi centre which was inadequate in terms of implementation of nutrition and health program, supplementary nutrition, preschool education and nutrition rehabilitation centre for existing beneficiaries. Both Anganwadi centres were not catering for new WHO growth standards and adolescent health.
Conclusions. Gaps found in respect of infrastructure, resources, health and nutrition facilities can affect performance of ICDS program and the services delivered by Anganwadi centres, which need a boost. Both urban and rural centres have a direct opportunity towards delivering adolescent health program focusing on nutrition and education of girls prior to their pregnancy, and adoption of new WHO growth standards.
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Surie, Aditi. "Coalitions of Socio-Technical Infrastructure: Platforms as Essential Services". Communication, Culture and Critique 14, nr 3 (24.06.2021): 539–44. http://dx.doi.org/10.1093/ccc/tcab044.
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Abstract This commentary explores the experimental ways in which delivery platforms and local governments in India collaborated during the COVID19 lockdown in India in 2020. The case of one district government, which partnered with a large, corporate food delivery platform is explored here to investigate the platform functionalities that were the most useful to the local government. My exploration highlights how the developmental state mobilized commercial platforms for their constituent socio-technical infrastructural elements. What happens when corporate platforms are unexpectedly ushered into the realm of public values? Addressing this question, I argue that the government’s instrumental re-tooling of the private sector’s platforms to manage a public emergency contests absolute formulations of corporate platform power.
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Mohan, Haritha S., Ayesha Anjum i Prema K. S. Rao. "A Survey of Telepractice in Speech-Language Pathology and Audiology in India". International Journal of Telerehabilitation 9, nr 2 (20.11.2017): 69–80. http://dx.doi.org/10.5195/ijt.2017.6233.
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Telepractice has emerged as a form of service delivery to assess and treat individuals with communication disorders. The present study surveyed speech-language pathologists and audiologists in India about the use of telepractice. Two hundred and five (N=205) speech-language pathologists and audiologists responded to a questionnaire, with 12.19% reporting their use of telepractice to deliver clinical services. Respondents also indicated an urgent shortage of professionals in India to deliver clinical services in speech-language pathology and audiology, and opined that these needs can be met via the use of telepractice. India is well known throughout the world for the advanced application of Information and Communication Technology (ICT), with 931.95 million telephone subscribers, over 900 million mobile phone users, and the second-largest mobile phone usage in the world. India has also experienced a tremendous rise in the number of internet users. Therefore, India is well poised to fully develop telepractice to overcome the barriers of distance and amplify the availability of speech-language pathology, audiology and other healthcare services. But first, the widespread use of telepractice throughout the nation will require an improved infrastructure (e.g., to uphold privacy and security); training for professionals; and telepractice policies. While very promising, the deployment of telepractice throughout India will require the attention of policy makers and government organizations. Keywords: Audiology, India, Speech Language Pathology, Telehealth, Telepractice
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YADAV, AWDHESH, i RANJANA KESARWANI. "EFFECT OF INDIVIDUAL AND COMMUNITY FACTORS ON MATERNAL HEALTH CARE SERVICE USE IN INDIA: A MULTILEVEL APPROACH". Journal of Biosocial Science 48, nr 1 (5.03.2015): 1–19. http://dx.doi.org/10.1017/s0021932015000048.
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SummaryThis study aimed to assess empirically the influence of individual and community (neighbourhood) factors on the use of maternal health care services in India through three outcomes: utilization of full antenatal care (ANC) services, safe delivery and utilization of postnatal care services. Data were from the third round of the National Family Health Survey (2005–06). The study sample constituted ever-married women aged 15–49 from 29 Indian states. Multilevel logistic regression analysis was performed for the three outcomes of interest accounting for individual- and community-level factors associated with the use of maternal health care services. A substantial amount of variation was observed at the community level. About 45%, 51% and 62% of the total variance in the use of full ANC, safe delivery and postnatal care, respectively, could be attributed to differences across the community. There was significant variation in the use of maternal health care services at the individual level, with socioeconomic status and mother's education being the most prominent factors associated with the use of maternal health care services. At the community level, urban residence and poverty concentration were found to be significantly associated with maternal health care service use. The results suggest that an increased focus on community-level interventions could lead to an increase in the utilization of maternal health care services in India.
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Malhotra, Charru, Rashmi Anand i Vivek Soni. "Creating Public Services 4.0: Sustainable Digital Architecture for Public Services in India". Indian Journal of Public Administration 66, nr 3 (wrzesień 2020): 327–42. http://dx.doi.org/10.1177/0019556120957421.
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Public Service Delivery (PSD), a basic responsibility of any democratic nation, is understood as the equitable, transparent and efficient deliverance of various public goods and services to its citizens. Prudent application of digital technologies, particularly Emerging Technologies (ETs) and associated software applications, can serve as a valuable tool to catalyse governance towards Sustainable Development Goals (SDGs). While adhering to the principles of good governance. In view of this, the present study is an attempt to first elucidate some global best practices of ETs such as Artificial Intelligence, blockchain, robotic process automation, Virtual Reality and Augmented Reality to articulate the objectives of similar technology application in inspirational terms for PSD in India. Second, it summarises the challenges about the utilisation and exploitation of such technology implementations in the context of developing countries such as India. Based on learnings emanating from these two objectives, the study establishes that a refurbished approach towards digital governance is the need of the hour. This new approach must be citizen-centric, innovative and citizen-inclusive, as the literature affirms that civic participation is a prerequisite while deploying digital technologies. This inspires the authors to propose a model that is co-created with citizens to address the contextual needs and aspirations of citizenry. The successful implementation of the proposed model insists on the presence of a flexible and responsive legal and regulatory system too. The present study may be useful for public administrators and policy makers in understanding the Indian character of using and creating a sustainable digital architecture for PSD that would go a long way in revamping Public Services 4.0 under the ambit of newer Government 4.0 to achieve SDGs by 2030.
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Pal, G. C. "Being Insider-Outsider: Public Policy, Social Identity, and Delivery of Healthcare Services in India". CASTE / A Global Journal on Social Exclusion 3, nr 2 (28.10.2022): 223–44. http://dx.doi.org/10.26812/caste.v3i2.451.
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Abstract
The pivotal role of community level workers in the delivery of public services is well-recognized. But, they often fail to provide equal opportunities to all ‘eligible’ beneficiaries to utilize a variety of public services. Although several predisposing household factors are held responsible for inequalities in access to the public services, in recent times, one factor that has been recognised as critical to such unequal access to public services is the ‘exclusionary nature of social relations’ based on social identity embedded in the social life of village community. It is also argued that certain sections of the population are deprived of equal access to public services due to their social identity, which is different from service providers. However, the question remains–whether it is the social identity of users or providers of public services that is critical to unequal access to various services? What will be the extent of utilization of public services when the social identity of both users and providers of the services remain same? Do the social dynamics of the community life play any role in the delivery of public services? This essay addresses these questions in the context of delivery of integrated nutrition and healthcare services at the community level under the largest national flagship scheme of Integrated Child Development Services (ICDS). Drawing evidence from a larger sample survey of over 4000 household beneficiaries and 200 service providers, the essay sheds light on how the delivery of healthcare services is fraught with social injustice due to dominant socio-cultural norms around social identity despite the values of healthcare centres to cater to the health needs of all sections of society.
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Sudhamony, S., K. Nandakumar, P. J. Binu i S. Issac Niwas. "Telemedicine and tele-health services for cancer-care delivery in India". IET Communications 2, nr 2 (2008): 231. http://dx.doi.org/10.1049/iet-com:20060701.
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Tey, Nai-Peng, i Siow-li Lai. "Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa". Scientific World Journal 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/423403.
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The high maternal and neonatal mortality rates in South Asia and Sub-Saharan Africa can be attributed to the lack of access and utilization of health services for delivery. Data from the Demographic and Health Surveys conducted in Bangladesh, India, Pakistan, Kenya, Nigeria, and Tanzania show that more than half of the births in these countries were delivered outside a health facility. Institutional delivery was closely associated with educational level, family wealth, place of residence, and women’s media exposure status, but it was not influenced by women’s work status and their roles in decision-making (with the exception of Nigeria). Controlling for other variables, higher parity and younger women were less likely to use a health facility for delivery. Within each country, the poorer, less educated and rural women had higher unmet need for maternal care services. Service related factors (accessibility in terms of cost and distance) and sociocultural factors (e.g., did not perceive the need for the services and objections from husband and family) also posed as barriers to institutional delivery. The paper concludes with some suggestions to increase institutional delivery.
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Ghosh, Atanu, Runa Nath i Nazmul Islam. "Choice of Place of Delivery during COVID-19 Pandemic: Observation from a Community-Based Survey in Rural India". Asian Pacific Journal of Health Sciences 8, nr 4 (12.10.2021): 236–41. http://dx.doi.org/10.21276/apjhs.2021.8.4.48.
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For the past two decades, India has made considerable improvement in health indicators and the country was on the right track toward achieving sustainable development goal-3 by 2030. However, the COVID-19 pandemic has disrupted the health-care system including the essential health services for mother and child. This study was carried out to understand the barriers for utilization of institutional delivery and its prevalence during the pandemic in rural West Bengal. A total of 318 number of women from 18 sampled villages of Canning II block of South 24 Parganas district were interviewed face to face using a semi-structured interview schedule between October and November 2020. The data were analyzed using Stata and NVivo 12 Pro software. Findings show that more than one-fourth (27.3%) of the deliveries took place at home without any assistance of medical professionals. Fear and anxiety related to COVID-19, uncertain service availability, poor service quality during the pandemic, and lack of supporting hands at households compelled women to choose home delivery instead of institutional delivery. Those delivered at institutions, many of them were released on the day of delivery itself, which resulted poor perinatal care even in the cases of institutional delivery. The findings recommend that in addition to COVID-19 related health services, essential maternal and child health services should be continued with the quality to achieve Sustainable Development Goal 3.
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Raman, S. "Faith, Trust and the Perinatal Healthcare Maze in Urban India". Health, Culture and Society 6, nr 1 (19.05.2014): 73–84. http://dx.doi.org/10.5195/hcs.2014.123.
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How women access and utilise health services through pregnancy, childbirth and infancy needs to be understood if we are to improve the delivery of and access to appropriate healthcare. Drawing on ethnographic observations of clinic encounters and in-depth interviews with women in Bangalore, South India, this paper reports on the complexities of negotiating healthcare throughout the perinatal continuum in urban India. Key themes identified include faith and trust in health services, confusion over right to healthcare; and the contested nature of choice for women. What is revealed is a socially restrictive framework that results in choices that seem arbitrary, irrational and self-defeating; poor women being particularly vulnerable. Given the current policy support for public-private-partnerships in reproductive healthcare delivery in India, both public and private health services need to move substantially to achieve true partnership and provide care that is respectful and valued by women and children in urban India.
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Davey, Sanjeev, Pradeep K. Kapoor, Meenu Bala, Jai V. Singh, Santosh K. Raghav i Nirankar Singh. "Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study". International Journal of Research Foundation of Hospital and Healthcare Administration 5, nr 1 (2017): 8–14. http://dx.doi.org/10.5005/jp-journals-10035-1070.
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ABSTRACT Introduction The community-oriented primary care (COPC) services model is an approach prescribed by the Medical Council of India for existing medical colleges in India from their respective urban and rural health training centers (RHTCs). However, the evidence of whether it is better as compared with pure primary health care approach in the Indian context is lacking in the literature. Therefore, it becomes imperative to study this area for its further expansion. Materials and methods The study was done in the catchment area of RHTC and neighboring primary health center (PHC; Makhiyali) attached to the medical college in the district of Western Uttar Pradesh in India. Three surveyed villages out of six villages from July 1, 2016, to December 31, 2016, were taken in this study. Finally, the COPC vs primary health care approach comparison was done on four outcome parameters. Results The utilization of COPC services from RHTC area as compared with primary health care services from PHC area was significantly better for all diseases combined (p < 0.005) and also in the category of management of upper respiratory tract infections (p < 0.0001) and nutritional deficiencies (p < 0.05). On further applying COPC services model, it was also found that RHTC services were significantly better as compared with PHC services in terms of socioeconomic impact on health from services (p < 0.0000), identification of health needs from services (p < 0.0000), and participation in health care services (p < 0.05). Conclusion The COPC services model appears to be successful in the delivery of health care services from RHTC of a medical college as compared with pure primary health care approach delivered from a PHC. However, authors suggest more in-depth multicentric studies on this issue before generalization of COPD model usage across the world. How to cite this article Davey S, Kapoor PK, Bala M, Singh JV, Raghav SK, Singh N. Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study. Int J Res Foundation Hosp Healthc Adm 2017;5(1):8-14.
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Ncube, Sikhululekile, Lindsay Beevers, Adebayo J. Adeloye i Annie Visser. "Assessment of freshwater ecosystem services in the Beas River Basin, Himalayas region, India". Proceedings of the International Association of Hydrological Sciences 379 (5.06.2018): 67–72. http://dx.doi.org/10.5194/piahs-379-67-2018.
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Abstract. River systems provide a diverse range of ecosystem services, examples include: flood regulation (regulating), fish (provisioning), nutrient cycling (supporting) and recreation (cultural). Developing water resources through the construction of dams (hydropower or irrigation) can enhance the delivery of provisioning ecosystem services. However, these hydrologic alterations result in reductions in less tangible regulating, cultural and supporting ecosystem services. This study seeks to understand how multiple impoundments, abstractions and transfers within the upper Beas River Basin, Western Himalayas, India, are affecting the delivery of supporting ecosystem services. Whilst approaches for assessing supporting ecosystem services are under development, the immediate aim of this paper is to set out a framework for their quantification, using the macroinvertebrate index Lotic-Invertebrate Index for Flow Evaluation (LIFE). LIFE is a weighted measure of the flow velocity preferences of the macroinvertebrate community. Flow records from multiple gauging stations within the basin were used to investigate flow variability at seasonal, inter-annual and decadal time scales. The findings show that both mean monthly and seasonal cumulative flows have decreased over time in the Beas River Basin. A positive hydroecological relationship between LIFE and flow was also identified, indicative of macroinvertebrate response to seasonal changes in the flow regime. For example, high LIFE scores (7.7–9.3) in the winter and summer seasons indicate an abundance of macroinvertebrates with a preference for high flows; this represents a high potential for instream supporting ecosystem services delivery. However, further analysis is required to understand these hydroecological interactions in the study basin and the impact on instream supporting ecosystem services delivery.
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Behere, Prakash B., Amit B. Nagdive, Aniruddh P. Behere, Richa Yadav i Rouchelle Fernandes. "Innovation in Community Psychiatry for the Delivery of Mental Health Services: The Sawangi Model". Journal of Neurosciences in Rural Practice 11, nr 04 (31.08.2020): 593–96. http://dx.doi.org/10.1055/s-0040-1715543.
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Abstract Objectives Can undergraduate medical students (UGs) adopt a village model to identify mentally ill persons in an adopted village successfully? Materials and Methods UGs during their first year adopt a village, and each student adopts seven families in the villages. During the visit, they look after immunization, tobacco and alcohol abuse, nutrition, hygiene, and sanitation. They help in identifying the health needs (including mental health) of the adopted family. The Indian Psychiatric Survey Schedule containing 15 questions covering most of the psychiatric illnesses were used by UGs to identify mental illness in the community. Persons identified as suffering from mental illness were referred to a consultant psychiatrist for confirmation of diagnosis and further management. Statistical Analysis Calculated by percentage of expected mentally ill persons based on prevalence of mental illness in the rural community and is compared with actual number of patients with mental illness identified by the UGs. True-positive, false-positive, and true predictive values were derived. Results In Umri village, UGs were able to identify 269 persons as true positives and 25 as false positives, whereas in Kurzadi village, UGs were able to identify 221 persons as true positives and 35 as false positives. It suggests UGs were able to identify mental illnesses with a good positive predictive value. In Umri village, out of 294 mentally ill patients, it gave a true positive value of 91.49% and a false positive value of 8.5%, whereas in Kurzadi village, out of the 256 mentally ill patients, it gave a true positive value of 86.3% and a false positive value of 13.67%. Conclusion The ratio of psychiatrists in India is approximately 0.30 per 100,000 population due to which psychiatrists alone cannot cover the mental health problems of India. Therefore, we need a different model to cover mental illness in India, which is discussed in this article.
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Adsul, Prajakta, Sasha Herbst de Cortina, Rashmi Pramathesh, Poornima Jayakrishna, Vijaya Srinivas, Suzanne Tanya Nethan, Kavitha Dhanasekaran, Roopa Hariprasad i Purnima Madhivanan. "Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore". PLOS Global Public Health 2, nr 6 (2.06.2022): e0000570. http://dx.doi.org/10.1371/journal.pgph.0000570.
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Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers who deliver cancer prevention services. The objective of this study was to explore physician perspectives on cervical cancer prevention, barriers to effective implementation, and strategies to overcome these barriers in India. Guided by the “Multilevel influences on the Cancer Care Continuum” theoretical framework, we conducted semi-structured interviews with physicians in Mysore, India. From November 2015- January 2016, we interviewed 15 (50.0%) primary care physicians, seven (23.3%) obstetrician/gynecologists, six (20.0%) oncologists, and two (6.7%) pathologists. We analyzed interview transcripts in Dedoose using a grounded theory approach. Approximately two-thirds (n = 19, 63.3%) of the participants worked in the public sector. Only seven (23.3%) physicians provided cervical cancer screening, none of them primary care physicians. Physicians discussed the need for community-level, culturally-tailored education to improve health literacy and reduce stigma surrounding cancer and gynecologic health. They described limited organizational capacity in the public sector to provide cancer prevention services, and emphasized the need for further training before they could perform cervical cancer screening. Physicians recommend an integrated strategy for cervical cancer prevention at multiple levels of uptake and delivery with specific efforts focused on culturally-tailored stigma-reducing education, community-level approaches utilizing India’s community health workers, and providing physician training and continuing education in cancer prevention.
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Mathew, Asish Oommen, Abhishek Nath Jha, Anasuya K. Lingappa i Pranshu Sinha. "Attitude towards Drone Food Delivery Services—Role of Innovativeness, Perceived Risk, and Green Image". Journal of Open Innovation: Technology, Market, and Complexity 7, nr 2 (26.05.2021): 144. http://dx.doi.org/10.3390/joitmc7020144.
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The possibility of drone usage for food delivery is met with enthusiasm by businesses as it promises instantaneous benefits such as reduced costs, improved customer satisfaction, and reduced environmental imprint. The objective of this paper is to explore consumer attitude and intention towards adopting a disruptive technology such as drone food delivery in the Indian context through motivated consumer innovativeness (MCI), green image, and perceived risk. We analyzed the questionnaire survey data collected from 310 respondents using structural equation modeling—partial least squares method. Functionally motivated consumer innovativeness and cognitively motivated consumer innovativeness were found to be significant positive predictors of consumer attitude and intention. Perceived privacy risk was found to have a significant negative influence on attitude. Green image had a significant positive effect on attitude towards drone usage. Other components of MCI namely, hedonic and social as well as performance and delivery risk did not show a significance influence. This study, to our knowledge, is first of its kind in India, a populous country with an established and booming economy, where the enabling and impeding antecedents of drone food delivery usage intention is simultaneously studied. The findings of this research will mainly benefit food delivery companies in framing successful drone food delivery strategies.
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Jha, Praveen. "Book review: Sukhpal Singh (2018). Institutional Innovations in the Delivery of Farm Services in India: A Small Holder Perspective". Agrarian South: Journal of Political Economy: A triannual Journal of Agrarian South Network and CARES 11, nr 2 (18.07.2022): 277–80. http://dx.doi.org/10.1177/22779760221102565.
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Sukhpal Singh (2018). Institutional Innovations in the Delivery of Farm Services in India: A Small Holder Perspective. New Delhi and IIM Ahmedabad: Springer India. CMA Publication No. 251 (Hardback), xxiv + 246 pp., Bibliography, Index, $149.99.
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Rattan, Saurabh, Vikram Katoch, Gurdarshan Gupta, Gopal Ashish Sharma i Priya Sharma. "COVID-19 vaccination in India: private sector inclusion mandatory?" International Journal Of Community Medicine And Public Health 9, nr 3 (28.02.2022): 1427. http://dx.doi.org/10.18203/2394-6040.ijcmph20220707.
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Background: Health services delivery system varies from country to country based on the available resources and the funding in that country. Both public and private system of health delivery work with the primary focus of providing the good health services. India has a multi-payer health care model that is paid for by a combination of public and private. Himachal Pradesh (HP) also has both public and private health institution infrastructure with penetration of public infrastructure more in the rural areas. To describe the utilization pattern of COVID-19 vaccine beneficiaries in district Kangra of HP among public and private healthcare delivery points.Method: Study was done in district Kangra with all the beneficiaries included in the COVID vaccination registered in Cowin portal.Results: Amongst the total vaccination done in dist. Kangra, 99.35% of the total doses were given in the govt setting and only 0.65% were contributed by the private setupConclusions: Since decades most of the developing world has been struggling for healthcare access and with complex delivery systems. It becomes pertinent to note that Indian COVID-19 vaccination reached heights of success through technology driven approach reaching each and every corner of the country and crossing milestones to achieve set targets. It was not unreasonable to expect that the public sector may not be able to provide effective, sustained and uninterrupted healthcare including COVID vaccination services, which could be the reason that private health sector was also involved for the later. Dist. Kangra has worked to prove the efficacy of the public sector providing most of its vaccination through government CVCs.
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Pareek, Urvashi, i Nagendra Ambedkar Sole. "Delivery of Time-Bound Public Services to Citizens: Indian Experience". Indian Journal of Public Administration 66, nr 3 (wrzesień 2020): 343–55. http://dx.doi.org/10.1177/0019556120953806.
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The delivery of public services to the citizens is the most critical function of the government, among the other functions being development and regulation. The three essential pillars of public service delivery are timelines, quality and grievance redressal. The concept of public service delivery emerged in the 1990s, with New Public Management and Citizen Charter’s evolution in the UK. With the shift in the role of the state from provider to facilitator and regulator of public services, the focus is to ensure transparency, accountability and citizen centricity in administration and maintain citizen’s satisfaction and trust in the government. This article highlights the concept of public service delivery, and time-bound delivery practices, adopted internationally and nationally. The article concludes that India needs to look beyond Information and Communications Technology and capitalise on other options as listed in suggestions.
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Ephrem, Irin, Ateendra Jha i A. R. Shabaraya. "A Review on Antenatal Care in Developing Country Like India". International Journal of Research and Review 8, nr 5 (2.06.2021): 397–403. http://dx.doi.org/10.52403/ijrr.20210549.
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Antenatal care is the ‘care before birth’ to promote the well-being of mother and fetus, and it is essential to reduce maternal morbidity and mortality, low-weight births and perinatal mortality. The care for the mother during pregnancy, during delivery, and after delivery is important for the wellbeing of the mother and the child. Maternal health-care vary within developing countries, which shows differences between affluent and poor women, and between women living in urban and rural areas. Health care service provision in India is very diverse, with rural services achieving considerably less coverage than their urban counterparts. It was found that following factors affects the antenatal care utilization maternal education, husband’s education, marital status, availability, cost, household income, women’s employment, media exposure and having a history of obstetric complications. If a woman visited health centre three or more than three times, her chances were 31 percent higher to deliver in an institution. Poorer women may prefer home-based delivery care. Lack of affordability might explain the large poor–rich inequalities in professional delivery attendance within urban and rural areas. Traditional beliefs and ideas about pregnancy also influence on antenatal care use. Older women would have accumulated knowledge on maternal health care and therefore would likely have more self-confidence on pregnancy and childbirth and thus, may give less importance to obtaining institutional care. Incomplete access and underutilization of modern healthcare services are major causes for poor health in the developing countries. There is a need of enhancing community awareness about the importance for educating women about early detection of complications during pregnancy and promptly seeking care, and about the importance of giving birth in a health facility. Keywords: Antenatal Care, Developing Countries.
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GRIFFITHS, PAULA, i ROB STEPHENSON. "UNDERSTANDING USERS’ PERSPECTIVES OF BARRIERS TO MATERNAL HEALTH CARE USE IN MAHARASHTRA, INDIA". Journal of Biosocial Science 33, nr 3 (lipiec 2001): 339–59. http://dx.doi.org/10.1017/s002193200100339x.
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This paper uses data collected using in-depth, semi-structured interviews to examine utilization of maternal health care services among two rural and urban populations of Pune and Mumbai in Maharashtra, India. The study aims to identify key social, economic and cultural factors influencing women’s decisions to use maternal health care and the places used for child delivery, whilst considering the accessibility of facilities available in the local area. Socioeconomic status was not found to be a barrier to service use when women perceived the benefits of the service to outweigh the cost, and when the service was within reasonable distance of the respondent’s place of residence. A large number of women perceived private services to be superior to those provided by the government, although cost often meant they were unable to use them. The provision of services did not ensure that women used them; they had to first perceive them to be beneficial to their health and that of their unborn child. Respondents identified the poor quality of services offered at government institutions to be a motivating factor for delivering at home. Thus further investigation is needed into the quality of services provided by government facilities in the area. A number of respondents who had received antenatal care went on to deliver in the home environment without a trained birth attendant. Further research is needed to establish the types of care provided during an antenatal consultation to establish the feasibility of using these visits to encourage women, particularly those with high-risk pregnancies, to be linked to a trained attendant for delivery.
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Madanian, Samaneh, Dave T. Parry, David Airehrour i Marianne Cherrington. "mHealth and big-data integration: promises for healthcare system in India". BMJ Health & Care Informatics 26, nr 1 (wrzesień 2019): e100071. http://dx.doi.org/10.1136/bmjhci-2019-100071.
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BackgroundThe use of mobile devices in health (mobile health/mHealth) coupled with related technologies promises to transform global health delivery by creating new delivery models that can be integrated with existing health services. These delivery models could facilitate healthcare delivery into rural areas where there is limited access to high-quality access care. Mobile technologies, Internet of Things and 5G connectivity may hold the key to supporting increased velocity, variety and volume of healthcare data.ObjectiveThe purpose of this study is to identify and analyse challenges related to the current status of India’s healthcare system—with a specific focus on mHealth and big-data analytics technologies. To address these challenges, a framework is proposed for integrating the generated mHealth big-data and applying the results in India's healthcare.MethodA critical review was conducted using electronic sources between December 2018 and February 2019, limited to English language articles and reports published from 2010 onwards.Main outcomeThis paper describes trending relationships in mHealth with big-data as well as the accessibility of national opportunities when specific barriers and constraints are overcome. The paper concentrates on the healthcare delivery problems faced by rural and low-income communities in India to illustrate more general aspects and identify key issues. A model is proposed that utilises generated data from mHealth devices for big-data analysis that could result in providing insights into the India population health status. The insights could be important for public health planning by the government towards reaching the Universal Health Coverage.ConclusionBiomedical, behavioural and lifestyle data from individuals may enable customised and improved healthcare services to be delivered. The analysis of data from mHealth devices can reveal new knowledge to effectively and efficiently support national healthcare demands in less developed nations, without fully accessible healthcare systems.
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Saxena, Stuti. "Factors influencing perceptions on corruption in public service delivery via e-government platform". foresight 19, nr 6 (13.11.2017): 628–46. http://dx.doi.org/10.1108/fs-05-2017-0013.
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Purpose With an increasing thrust upon transparency and accountability in government, e-government platforms are being scaled in many countries to bolster trust of the citizens and to bring about efficiency in public service delivery. Recently, India launched its “Digital India” initiative as an e-government measure. This study aims to gauge respondents’ perceptions regarding corruption in public services post-launch of the “Digital India” initiative. Design/methodology/approach A survey was conducted via email, soliciting inputs from 217 respondents following a convenience sampling technique in selected districts of India. Using an institutional theory lens, this study uses a quantitative approach where correlations and hierarchical regression analysis inform the overall analysis. Findings The results showed that low transparency, high cost incurred in availing public services, inefficiency in government and favoritism in government are the key determinants that influenced the perception of users about corruption in e-government services. Also, one demographic variable, namely, gender, showed a statistically significant relationship with the perception of corruption in e-government services. Originality/value Hitherto, extant literature is replete with conceptual and theoretical studies on the impact of e-government initiatives on curbing corruption, and there is negligible empirical research in developing countries vis-à-vis this dimension – the present study seeks to fill this gap. Second, previous research has not used the institutional theory to investigate the efficacy of e-government initiatives; this study uses the framework of the institutional theory framework to substantiate the arguments.
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Jain, Vineet, i Puneeta Ajmera. "Modelling the factors affecting Indian medical tourism sector using interpretive structural modeling". Benchmarking: An International Journal 25, nr 5 (2.07.2018): 1461–79. http://dx.doi.org/10.1108/bij-03-2017-0045.
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Purpose Medical tourism encourages the traveling of patients, expert healthcare professionals and promotes cross-border trade in healthcare services. The Indian medical tourism sector is facing new challenges as well as certain ethical and legal issues because of continuous market changes and patient’s requirements while at the same time advancements in current health services have also been observed. It is therefore very important to understand and address the issues of the medical tourists. The purpose of this paper is to evaluate the important factors which can make India an affordable medical tourism destination. Design/methodology/approach In this paper, the factors influencing Indian medical tourism sector have been explored by conducting literature review, they are ranked according to the results of a questionnaire-based survey and further analyzed by using the interpretive structural modeling (ISM) approach. The mutual relationships between these factors were identified to develop an ISM model so as to find out the important factors which can make India an affordable place for medical tourism. Findings The results of the survey and the model show that cost of medical procedures, facilitation, and care, the infrastructure of Indian hospitals, clinical excellence and the competence of doctors and staff are the top level factors. Practical implications It is very important to address the concerns of the patients coming to a developing country like India for availing medical services. This research has evaluated the important factors which can make India an affordable medical tourism destination. Originality/value This research assesses the effects of globalization on delivery of healthcare services in India by conducting critical analysis of the medical tourism industry by collecting original data from the international patients coming to India for different types of medical procedures so that a comprehensive model can be prepared which will help the hospitals and policymakers to improve the processes related to medical tourism.
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Bharti, Ajay Kumar, i Sanjay K. Dwivedi. "A BPR Approach for e-Governance in Public Transportation". International Journal of Strategic Information Technology and Applications 5, nr 2 (kwiecień 2014): 64–75. http://dx.doi.org/10.4018/ijsita.2014040105.
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Information is one of the important entities to affect the decision making, therefore effective and efficient management of information in bureaucratic, strategic planning and decision making will affect the governance process. e-Governance is a panacea for all the problems in government or public sector, public transportation is not the exception too. The public transportation sector has to manage the information, resources, people and process in an effective and efficient manner using information and communication technology to provide effective and efficient services to their commuters. In this paper we discusses about the need of BPR in public transportation, their steps for implementation followed by recommendations and its expected benefits. The paper also elaborates our analytical and foresight based strategic model for e-Governance in the public transportation sector in India. Based on the case study and the issues in the public transportation a set of recommendations for service delivery in the public transportation sector. Following these recommendations sector will be able to deliver integrated and quality services to their citizens of India using National e-Governance Plan (NeGP) service delivery model.
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Ghosh, Arabinda. "Inequality in maternal health-care services and safe delivery in eastern India". WHO South-East Asia Journal of Public Health 4, nr 1 (2015): 54. http://dx.doi.org/10.4103/2224-3151.206621.
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Arora, RamandeepSingh, Vatsna Rathore, Ankit Taluja, PuneetRana Arora, Poonam Bagai, Gauri Kapoor i Rachna Seth. "Delivery of services to childhood cancer survivors in India: A national survey". Indian Journal of Medical and Paediatric Oncology 41, nr 5 (2020): 707. http://dx.doi.org/10.4103/ijmpo.ijmpo_6_20.
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Kochar, Anjini. "Branchless banking: Evaluating the doorstep delivery of financial services in rural India". Journal of Development Economics 135 (listopad 2018): 160–75. http://dx.doi.org/10.1016/j.jdeveco.2018.07.001.
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Jayarajan, Deepak, Thanapal Sivakumar, John B. Torous i Jagadisha Thirthalli. "Telerehabilitation in Psychiatry". Indian Journal of Psychological Medicine 42, nr 5_suppl (październik 2020): 57S—62S. http://dx.doi.org/10.1177/0253717620963202.
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The COVID-19 pandemic has interrupted the usual mechanisms of healthcare delivery and exacerbated symptoms of mental illnesses. Telemedicine has morphed from niche service to essential platform, with newly released guidelines that cover various aspects of tele-mental health delivery. Rehabilitation services, which incorporate a range of psychosocial interventions and liaison services, have been significantly impacted too. They are currently more institute-based than community-based in India. However, recent legislation has mandated that community-based rehabilitation options be available. While a large treatment gap for mental health issues has always existed, telemedicine provides an opportunity to scale services up to minimize this gap. Community-based rehabilitation can be delivered over various platforms, from text to phone to videoconferencing, and various devices. Telemedicine is cost-effective, and enables delivery of services where existing services are inadequate. The recent guidelines allow other healthcare workers to be involved in mental health service delivery. Hence, in addition to direct delivery of services, telerehabilitation can facilitate task-shifting, with mental health professionals mentoring and supervising existing human resources, such as ASHA workers, VRWs, DMHP programme staff, and others. Tele-rehabilitation also poses challenges - not all needs can be met; access and privacy can be a problem in resource-scarce settings; liaison with existing services is required; and organisations need to plan appropriately and re-allocate resources. Digital access to welfare benefits and interventions must be expanded without disadvantaging those without internet access. Yet, many rehabilitation interventions can be adapted to telemedicine platforms smoothly, and task-shifting can broaden access to care for persons with disability.
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Bashar, M. D. Abu. "Assessment of infrastructure facilities, manpower and services at health sub-centres from a rural block of Haryana, North India". International Journal Of Community Medicine And Public Health 9, nr 7 (28.06.2022): 2965. http://dx.doi.org/10.18203/2394-6040.ijcmph20221767.
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Background: A sub-centre is the most peripheral and first point of contact between the health care system and the Community. The success of any nationwide programme largely depends on well-functioning sub-centres providing services of acceptable standard to people. Indian Public Health Standards (IPHS) were programmed with an objective to standardize the health care infrastructure and services. Current study was undertaken with the aim to assess the infrastructure facilities, manpower and services of a sample of sub-centers from North India against the IPHS standards.Methods: A cross sectional study was carried out from February 2014 to October 2014 in 30 of the 32 sub-centres in a rural block of district Ambala in the state of Haryana, North India using a specially designed semi structured questionnaire to compare the existing physical infrastructure, manpower, quality control and service delivery in these sub-centres against the IPHS standards.Results: Significant gaps existed in available physical infrastructure and availability of manpower (especially male worker). The parameters designed for quality control like citizen’s charter, internal and external monitoring were also found to be deficient. Record keeping and reporting was also unsatisfactory. However, availability of the requisite services and service delivery was found to be satisfactory.Conclusions: There is urgent need to equip the sub-centres with the necessary infrastructure and logistics along with need of regular monitoring and supervision of the sub-centers by internal and external agencies so as to improve the quality of facilities and services provided by them.
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Mishra, Vilaksan. "An All-in-One Different Delivery and Services Solution". International Journal for Research in Applied Science and Engineering Technology 9, nr VI (15.07.2021): 749–52. http://dx.doi.org/10.22214/ijraset.2021.36292.
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We have seen that business can be done amid lockdowns and curfew restrictions. The pandemic having a lot of negative impact on almost everyone has a silver lining, which is the digital age. India could not have been more digital than it has been in the past one year from online grocery shopping to food delivery and the WFH culture is sure to promote people from ordering things from the comfort of their homes. In coming times the restrictions will become preferred choices and our average shopkeeper needs to be more tech savvy but it is next to impossible for every shop to go digital the way things are. In order to meet the requirements of the time we have proposed a solution in the form of a mobile application which will provide users to order food and services from the comfort of their homes.