Despite many serious efforts, tuberculosis (TB) is still a recognized public health problem. The Government of India has adopted the Directly Observed Treatment, Short-Course (DOTS) strategy for the entire country through the Revised National Tuberculosis Control Programme (RNTCP) for the treatment of TB. In this report, we have presented the trajectories for care seeking of two TB cases who suffered from either "patient level delays" or "health system-related delays" in seeking DOTS for the treatment of TB.
Purpose – The purpose of this paper is to attempt to fill the need to identify critical information security issues at national level, both technical and social in the Indian context, and create a framework of these issues to provide interesting managerial insights about their hierarchy. Current literature advocates relevance of both technical and social issues in a potential framework to address national and organizational information security concerns. Such a framework can guide users in developing insight for strategy in the maize of important information security issues and their intricate interdependency.
Design/methodology/approach – Delphi methodology is used to identify a set of topical issues with help from members of a cyber security group. These issues are further analyzed using Interpretive Structural Modeling (ISM) to impose order and direction to the complex relationships among them.
Findings – The analysis using ISM creates a framework of these issues and provides interesting managerial insights about their hierarchy. These insights are used to recommend prioritized action for information security at national and organizational levels.
Research limitations/implications – The highlight of this research is ingenious deployment of two idea engineering methods in developing interpretable structural model of 25 information security issues. This model provides valuable insights and can guide the policy formulation. This is the key contribution of this paper. It needs hardly any emphasis on the need for continuous search of all technical and social issues and formulating policies and programs using experts" judgment in a rigorous manner. Subsequent research may scale up to the global level for extension and validation by empanelling Delphi experts from nations belonging to different regions. Time-variant analysis can be attempted with the help of System Dynamics Modeling using causal-loop diagrams to account for the supportive and inhibiting influences of various issues. This approach has the potential to generate more realistic insights that can inform policy formulation.
Practical implications – It brings about key information security issues connected with its various facets, viz. national/organizational level initiatives, supportive processes, capabilities and objectives. These issues, identified by Indian experts in the Indian context, offer a method that one could apply in other national contexts and see whether substantial differences occur, and how other experts prioritize these issues. The analysis of social issues along with technical issues using the ISM tool provides us insights that are considered applicable to a larger context than India. The policy and program formulations in other nations can benefit from the insights generated by this research. The fast-paced proliferation of technology and its resultant vulnerabilities have given birth to an underground economy of malware trading by criminals, terrorists and hostile nation states. Secure cyber space for legitimate use by the globalized world can only be achieved by international cooperation.
Social implications – A "digital divide" in cyber defense cannot be afforded. As explained earlier, cyber security is a challenge for both developed and developing nations. Prioritization of resources in a sequence suggested by ISM analysis would help face the challenge of cyber security better. The methodology suggested in this paper would ensure adequate response to cyber threats and eliminate knee-jerk reaction.
Originality/value – This research emphasizes identification of hierarchical relationship among the identified topical issues of information security rather than using them as a flat checklist. It helps us segregate the end objectives from root issues and highlights the necessity of addressing these root issues to achieve those objectives.
SummaryThis study examined the post-sterilization autonomy of women in south India in the context of early sterilization and low fertility. Quantitative data were taken from the third round of the National Family Health Survey (NFHS-3) carried out in 2005–06, and qualitative data from one village each in Kerala and Tamil Nadu during 2010–11. The incident rate ratios and thematic analysis showed that among currently married women under the age of 30 years, those who had been sterilized had significantly higher autonomy in household decision-making and freedom of mobility compared with women who had never used any modern family planning method. Early age at sterilization and low fertility enables women to achieve the social status that is generally attained at later stages in the life-cycle. Policies to capitalize on women's autonomy and free time resulting from early sterilization and low fertility should be adopted in south India.
SummaryChild undernutrition remains a major child health and developmental issue in low- and middle-income countries. The concentration (clustering) of underweight children among siblings at the family level is known to exist in India. This study examined the extent and covariates of clustering of underweight children at the sibling and family level in Uttar Pradesh, the largest state of northern India. Clustering of underweight (low weight-for-age) children was assessed using data on 7533 under-five children from the National Family Health Survey (NFHS) conducted in 2005–06, analysed using binary logistic and binomial regression models. Related bio-demographic, socioeconomic and health care variables were used as covariates in the models. The odds of being underweight for the index child were about two times higher (OR=2.34, p<0.001) if any of the siblings within the household was malnourished or underweight. A longer birth interval increased the odds of a child being underweight. The odds of underweight were significantly lower (OR=0.69, p<0.001) for children born to normal-weight mothers compared with those born to underweight mothers. Similarly, the odds of underweight were significantly lower (OR=0.49, p=0.01) for children born to educated mothers (high school and above) compared with those born to illiterate mothers. The results of the binomial regression model suggested that the deviations between observed and expected number of children were positive (3.09, 3.78 and 2.71) for 1, 2 and 2+ underweight children within the households of underweight women, indicating the concentration of underweight children among underweight/malnourished mothers. Underweight children were found to be clustered among underweight mothers with multiple underweight siblings. The findings suggest that policy interventions need to focus on underweight mothers with multiple underweight children.
"The challenges posed by climate change have had a significant impact on global food security, with crop yields negatively affected by abiotic and biotic stresses. The book Nanopriming Approach to Sustainable Agriculture offers a promising solution to this problem, providing a sustainable technology that ensures the growth and development of healthy plants in adverse conditions. By using nanoparticles to enhance seed germination and growth, nanopriming establishes pre-resistance against diseases and stresses, thereby reducing the need for pesticides and fertilizers. This reduction in the use of harmful chemicals not only benefits the environment but also helps increase the income of farmers worldwide.This edited book offers a comprehensive overview of the latest research and development in nanotechnology for agriculture, covering topics such as crop production, protection, soil fertility improvement, and crop improvement. With each chapter focusing on a specific topic, the book is a valuable resource for students, researchers, and professors seeking to stay up to date with the latest advances in nanotechnology. The book is especially relevant for those interested in precision farming, and it highlights the potential of nanopriming as an effective tool for sustainable agriculture. Topics covered include seed priming with zinc oxide and silver nanoparticles, myco-synthesized nanoparticles as seed priming agents, and nanopriming for alleviating heavy metal toxicity in plants. Co-edited by leading researchers in the field, this book is designed to be a valuable asset for university courses and provides updated knowledge and applications in agriculture sciences. Overall, this book offers a comprehensive overview of the latest research in nanotechnology for agriculture and its potential to revolutionize sustainable agriculture practices worldwide."--
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Introduction: Childhood sexual abuse (CSA) is truly a multidimensional issue having long-lasting effect on subject's physical and psychological health. The study was conducted with an aim to study various aspects of self-reported childhood sexual abuse in a sample of students from South India.
Methods: This cross-sectional study was carried out during July to September 2018 among 399 students of two colleges located at Puducherry using a self-administered questionnaire. The desired sample size was calculated considering the proportion of college students suffered from childhood sexual abuse as 53.2%. In each college, the line listing of students from 1st year to final year was done and simple random sampling technique was used for selecting the study subjects. The study was initiated after obtaining institutional ethical approval, and every student was ensured of complete confidentiality and privacy.
Results: Of total 399 students, 130 (32.7%) students reported experiencing one or other form of CSA. Majority (40.0%) did not inform or share the instance of CSA to anyone. Fear of negative consequences (48.1%) and feelings of guilt (32.7%) were two top most factors that made them not to inform such abuse to their family members.
Conclusion: Approximately one-third of students reported an incident of sexual abuse at least once in his/her life in Puducherry; thus, roots of CSA are deep in the society in which we live.
Purpose: South Asian region is a focal point owing to its vulnerabilities to climate-sensitive diseases, dependence on climate-sensitive livelihoods, projected levels of crop decline in the region, and high rates of poverty and malnutrition. Women are particularly vulnerable to climate change and this affects women disproportionately during different extreme events. The purpose of this paper is to understand the issue of climate change and its impact, and climate resilience among women in South Asia. Further, it also identifies the gaps and suggests future policy implications. Design/methodology/approach: Climate change is increasingly being recognised as an alarming issue and the present review is important when South Asian countries are facing the brunt of climate change impacts. This paper tries to understand the issue by review of the literature and conceptual framework methodology. To understand women's vulnerability due to climate change and its aftermath, the authors conducted both offline and online desk reviews for this study. Findings: The findings of this study show a clear linkage between climate change and women's vulnerabilities in South Asia. Climate change has significant socio-economic impacts on women, and it affects them disproportionately in various domains of agriculture, livelihood, food security, both physical and mental health, water and sanitation in the South Asia region. Practical implications: The paper also highlights that the programmes that aim at combating the effects of climate change require a gender-sensitive approach so that climate change does not obstruct the development and reduction of poverty in the region. Social implications: The findings of this paper will add value in helping families to come out of poverty by undertaking adaptive measures with proactive assistance from the government and grassroots level organisations. Originality/value: The present study also advocates for more gender- and climate-sensitive measures from governments, and implementation of ...
In an era overshadowed by pressing global challenges such as climate change, burgeoning populations, and the depletion of natural resources, the agricultural landscape is at a critical juncture. The need for sustainable practices has never been more urgent, with conventional methods struggling to meet the demands of a growing population while grappling with environmental degradation.
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AbstractResearch on the association between experiences of intimate partner violence (IPV) and contraceptive use discontinuation in low‐ and middle‐income countries (LMICs) is limited. This study aims to fill this important gap using microdata collected from women aged 15–49 in the 2015–2016 National Family Health Survey (NFHS). Analyses used multivariable multinomial logistic regressions stratified by long‐acting reversible contraceptive methods (LARC)/non‐LARC and condom/pill to examine the association between experience of IPV and contraceptive use discontinuation while still in need (DWSIN). Experience of physical violence was associated with DWSIN among LARC/IUD users (RRR: 3.73, 95 percent CI [1.55–8.95]) Among condom users, DWSIN was higher among women who experienced emotional violence compared with women who did not experience any violence (RRR: 4.16, 95 percent CI [1.59–10.90]). Although we did not find an association between IPV and overall contraceptive use discontinuation, we did find compelling evidence of an association between IPV and IUD and condom use discontinuation in India. There is a need to understand women's experience of IPV as a part of a broader strategy to provide high‐quality family planning services to all women while considering individual circumstances and reproductive aspirations to support the uninterrupted use of contraception in India.
