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A health equity research agenda for India: results of a consultative exercise.
Ravindran, T K Sundari; Seshadri, Tanya.
Afiliación
  • Ravindran TKS; Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala, India. ravindransundari@gmail.com.
  • Seshadri T; Independent researcher, Bengaluru, India.
Health Res Policy Syst ; 16(Suppl 1): 94, 2018 Oct 09.
Article en En | MEDLINE | ID: mdl-30301455
BACKGROUND: This paper describes the process and outcome of a consultative exercise undertaken to develop a medium-term agenda for the next decade, and to identify a short list of immediate priorities for health equity research in India. This exercise was undertaken over 2014-2017 as part of 'Closing the Gap: Health Equity Research Initiative in India', implemented by the Achutha Menon Centre for Health Science Studies, at the Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, in south India. METHODS: We adopted a five-step process for the agenda- and priority-setting exercise. The first step, which lasted for approximately 1 year, consisted of a synthesis of evidence on health inequities in India produced during 2000-2014 and identification of gaps. In the second step, we shared the evidence gaps identified and engaged with diverse stakeholders to develop the research agenda through face-to-face and online consultations. In step three, we consolidated the research agenda and identified continuing gaps. Key informant consultations by phone or email with experts in the areas where gaps were identified constituted the fourth step. In the fifth and final step, we organised an expert group consultation to review the agenda and identify immediate research priorities through a consensus process. Overall, approximately 220 persons participated in the entire process, and consisted of persons from diverse disciplines and sectors. RESULTS: The research agenda and immediate priorities that emerged may be categorised into four themes, namely (1) descriptive research on the extent, nature and time trends in health inequities; (2) explanatory research on the pathways through which health inequities are created, and the political or policy environment that facilitates the process; (3) explanatory research that examines how health systems facilitate or mitigate inequities in healthcare; and (4) intervention research on initiatives that helped to mitigate health inequities, and examines the contributing factors. CONCLUSION: The strength of this research agenda is that it was developed through a broad-based consultation with stakeholders representing diverse disciplines, sectors and constituencies. The use of this agenda will help generate evidence that will facilitate India moving closer to the Sustainable Development Goal of leaving no one behind.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación / Equidad en Salud / Disparidades en el Estado de Salud / Disparidades en Atención de Salud / Prioridades en Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Health Res Policy Syst Año: 2018 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación / Equidad en Salud / Disparidades en el Estado de Salud / Disparidades en Atención de Salud / Prioridades en Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Health Res Policy Syst Año: 2018 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido