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Migration and Women's Health Research (2000-2023): A bibliometric analysis of trends and gaps.
This bibliometric study examines the scholarly landscape of migration and women's health, analyzing 1314 Scopus-indexed articles from 462 journals published between 2000 and 2023. Findings indicate a consistent increase in research output, reflecting growing global interest in this interdisciplinary field. Geographically, high-income countries (HICs), including the United States, Canada, the United Kingdom, and Australia, dominate contributions, while low- and middle-income countries (LMICs) remain underrepresented despite hosting significant migrant populations. International collaborations play a crucial role, with key institutions such as the University of California and the London School of Hygiene and Tropical Medicine shaping research efforts. The keyword co-occurrence analysis highlights migration, gender dynamics, mental health, and reproductive health as dominant themes. Persistent gaps in mental and reproductive healthcare access for migrant women emphasize the need for trauma-informed care (TIC), mobile bilingual healthcare services, and inclusive health policies. Disparities in research funding further exacerbate global health inequities, underscoring the necessity of equitable redistribution of resources, including redirecting at least 10 % of HIC research grants to LMIC-led studies. The COVID-19 pandemic magnified pre-existing vulnerabilities, stressing the importance of multilateral collaborations and sustainable policy interventions to enhance migrant healthcare access. This study provides valuable insights into research trends, collaboration networks, and thematic focus areas, offering a foundation for future interdisciplinary research and evidence-based policymaking aimed at promoting health equity for migrant women globally.
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Efficacy of in-person versus digital mental health interventions for postpartum depression: Meta-analysis of randomized controlled trials
Aim: This meta-analysis aimed to compare the efficacy of in-person and digital mental health interventions in addressing Postpartum Depression. Methods: Following PRISMA guidelines, the protocol for this meta-analysis was registered at the Open Science Framework (Retrieved from osf.io/wy3s4). This meta analysis included Randomized Controlled Trials (RCTs) conducted between 2013 and 2023. A comprehensive literature search identified 35 eligible RCTs from various electronic databases. Inclusion criteria focused on pregnant women over 18 years old, encompassing antenatal depression and up to two years postpartum. Diagnostic interviews or Edinburgh Postnatal Depression Scale (EPDS) were used to establish PPD. Digital interventions included telephonic, app-based, or internet-based approaches, while in-person interventions involved face-to-face sessions. Results: The meta-analysis revealed a moderate overall effect size of -0.69, indicating that psychological interventions are effective for PPD. Digital interventions (g = -0.86) exhibited a higher mean effect size than in-person interventions (g = -0.55). Both types of interventions displayed substantial heterogeneity (digital: I2 = 99%, in-person: I2 = 92%), suggesting variability in intervention content, delivery methods, and participant characteristics. Conclusion: Digital mental health interventions show promise in addressing PPD symptoms, with a potentially greater effect size compared to in-person interventions. However, the high heterogeneity observed in both modalities underscores the need for further research to identify key drivers of success and tailor interventions to diverse populations. Additionally, the choice between digital and in-person interventions should consider individual needs and preferences. Ongoing research should further investigate and optimise intervention modalities to better serve pregnant women at risk of PPD.
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Evaluation of CMAM programme in three states
Overview Comprehensive community-based approaches to treat wasting do not yet exist at scale in India. Under POSHAN Abhiyaan, the Indian government has demonstrated its commitment to the large-scale implementation of treatment services for severely wasted children. With SAM prevalence ranging from 2.2% to 11.9%, which are unusually high rates when compared with other countries, implementing the CMAM model is essential to meet the need and is feasible given India’s highly developed health and nutrition infrastructures at the community-level into which services can be integrated. CMAM guidelines have been in development since 2017, although they are not yet published. Meanwhile, states are moving ahead with the CMAM agenda. The complex policy environment and the limited evidence base for CMAM in India has led to the development of multiple treatment protocols which vary as to their adherence to the global protocols. Therefore, a better understanding of these revised models, which have a limited evidence base for effectiveness, is essential. UNICEF seeks to hire an agency to undertake a comprehensive external evaluation of CMAM services provided through government systems in India. The specific objective will be to evaluate the relevance and appropriateness, effectiveness, coverage, efficiency and sustainability in two states (Gujarat and Madhya Pradesh), considering programme outcomes over the last one-year period. In addition, the evaluation will focus on assessing cross-cutting issues, such as coordination and management, equity (specifically gender and caste), and information and data management on programme performance. Gujarat and Madhya Pradesh have been chosen as they have adopted different treatment protocols, one which uses a therapeutic food that meets WHO standards and the second which uses a therapeutic food that does not meet WHO standards. Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A Consultant name Paul Binns, Hugh Lort-Phillips, Federico Ercolano, Patrizia Pajak, Alexandra Rutishauser-Perera Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India
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Small Cat and Leopard Conservation
Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India
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Securing Livelihoods, Conservation, Sustainable Use, and Restoration of High Range Himalayan Ecosystems (SECURE Himalaya)
Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India
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Countering Tobacco Industry Interference: A Policy Brief on Strengthening the WHO FCTC Article 5.3 Adoption in India.
Tobacco use in India contributes to over 1.35 million deaths annually, posing a major public health challenge. Tobacco industry interference (TII) is a significant barrier to effective tobacco control, especially in low- and middle-income countries (LMICs), such as India. This interference undermines public health efforts by manipulating policy implementation and enforcement. The adoption of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) Article 5.3 in India has made progress, with 23 states implementing the guidelines. However, enforcement gaps and persistent tobacco industry (TI) tactics continue to weaken tobacco control measures. Nefarious strategies, such as lobbying and misinformation, further complicate the effective execution of these policies. To effectively reduce tobacco use in India, stronger and enforceable policies are needed at both national and state levels. Strengthened legal frameworks, increased public awareness, and robust monitoring systems are critical to protect public health policies from TII. These steps are essential to safeguard public health and enhance the impact of tobacco control initiatives.
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Congenital cardiac anomalies in non-syndromic cleft lip and cleft palate patients: A systematic review and meta-analysis.
The aim was to establish a specific and definite connection between non-syndromic orofacial cleft patients and associated congenital heart disease (CHD). Following PRISMA guidelines, selective databases were searched for data collection. Studies showing a definite association of CHD with orofacial cleft were included, and studies non-specific of the association of orofacial cleft with CHD were excluded. Data extraction criteria were study design, frequency of CHD in overall non-syndromic orofacial cleft and in specific cleft type, and most prevalent congenital cardiac anomaly. DerSimonian Laird random effects model was used to estimate the pooled proportion of CHD, along with corresponding 95% confidence intervals (CIs) for each measure. Publication bias was assessed using Fail-Safe N analysis and the Rosenthel approach. Of a total of 182 articles searched, only 30 studies were assessed. The overall pooled estimate of the proportion of CHD in total cleft lips/palates was 16% (95% CI: 13-19). The odds of developing CHD in cleft palates was 4.08 times more as compared to cleft lips with 95% CIs of 3.86-4.33, and 1.65 more as compared to cleft lips and palates both with 95% CI of 1.52-1.68. We affirm the upsurging prevalence of CHD in non-syndromic cleft children and vehemently propose that it is of utmost importance to inculcate it in practice and policy-making to screen all non-syndromic orofacial cleft children for congenital cardiac anomaly. This study was registered on PROSPERO (ID no. CRD42023391597) on February 24, 2023.
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Development Support Services - Disaster Risk Reduction
Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG13 - Climate Action Geographic Scope Country Country/ies India
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Swabhimaan Programme Evaluation
Overview The implementation of Swabhimaan programme started in the year 2017 and is expected to be completed by the end of 2021. The programme has a built-in impact evaluation component, which measures its impact on the well-being of women and girls. This will be achieved through the ongoing endline survey that is being implemented. The endline survey alone, however, will not be able to establish the reasons for the impact findings, specifically the achievement or non-achievement of outcomes or any unintended/unexpected changes in outcome. It will not be able to assess whether the programme was implemented as planned, if all intended beneficiaries were reached, how activities translated to outputs and outcomes and what challenges were encountered. This is important not just to understand the results of the programme, but also to inform decisions around scale-up of the programme. For these reasons, a more comprehensive ‘programme’ evaluation needs to be undertaken, that encompasses the endline survey as one component. These Terms of Reference (ToR) are for hiring an experienced individual consultant evaluator to undertake the programme evaluation of the Swabhimaan programme in the states of Bihar, Chhattisgarh and Odisha. The programme evaluation will use two approaches: a) use existing evidence collected through programme monitoring reports, the biannual tele-monitoring monitoring and impact evaluation components of the programme (baseline, midline and endline), as well as the findings from the value for money analysis and the fidelity assessment; b) collect additional qualitative data, to plug any evidence/information gaps. The consultant will be responsible for conducting his/her own analysis of the qualitative data and programme reports, and where appropriate, analysing and/or spot checking the accuracy of the quantitative analyses conducted by IIPS. It is essential that the evaluation augments or adds to the existing data and Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India
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UNICEF SBCC Cells Programme Evaluation 2017 to 2021
Overview With the GAVI programme gradually drawing to a close, this UNICEF SBCC evaluation is intended to provide critical programmatic insights into what has worked, what has not worked and key learnings from the sample states included in the evaluation. Similarly, the findings of the evaluation are expected to support strengthening of SBCC cell functioning, and ongoing program initiatives aimed directly at maximizing utilization of public services. Based on the findings of the evaluation, UNICEF aims to advise the MoHFW and other public administrative bodies on the effectiveness and sustainability of institutionalizing SBCC Cells. Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India
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Evaluation of Career Guidance Portal for Students in India
Overview Career guidance portals, launched under UNICEF’s career guidance programme in partnership with state governments and technical partner (Aasman Foundation) in 2019, is a comprehensive initiative aimed at bridging the knowledge gap among adolescents (students in classes 9-12) in India and enable them to make informed decisions about their future. The programme was initially launched in three states in 2019 and is currently being implemented in 17 states1 across the country. The career guidance portal intends to notify the students about the available career pathways, institutions catering to their interests, entrance exams and scholarships, providing students with educational opportunities and career possibilities. The overarching purpose of the evaluation was to generate learnings on implementation modalities – what worked and how; as well as what gaps emerged, if any – in the interventions rolled out since 2019 with support of UNICEF. The evaluation findings and recommendations will help inform UNICEF’s education programme and help develop an effective career guidance programme and strategies for the new country programme (2023-2027). Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Pramila Manoharan Focal Point Email pmanoharan@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India
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Technical Support to the Department of Panchayati Raj, Government of Odisha to fast-track construction of Rural Houses (CPD Output 2.2)
Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG11 - Sustainable Cities and Communities Geographic Scope Country Country/ies India
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SDG Localization through SDG Coordination Centre's
Report Details Year Published 2023 Type Strategic/ Thematic Joint No Partner/s N/A SDG/s SDG1 - No PovertySDG11 - Sustainable Cities and CommunitiesSDG17 - Partnerships for the Goals Geographic Scope Country Country/ies India
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Enhancing Effectiveness of Tribal Development Programmes in Indi
Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG1 - No Poverty Geographic Scope Country Country/ies India
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Preparation of Third National Communication and other new information to the UNFCCC (CPD Output 3.1)
Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG13 - Climate Action Geographic Scope Country Country/ies India
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A Decentralized Community led Approach for Plastic Waste Recycling in India
Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India
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Measuring Impact of Climate Change on Indigenous Health in the Background of Multiple Disadvantages: A Scoping Review for Equitable Public Health Policy Formulation.
How climate change is uniquely affecting Indigenous health remains a very less explored area in the existing research literature. The imperative of inclusive climate action to protect indigenous health multiplies manifolds due to their unique vulnerabilities owing to predominant dependence on natural resources and multiple disadvantages faced. The current article attempted to add to the evidence pool regarding climate change impacts on the indigenous population by systematically collecting, processing, and interpreting data as a scoping literature review for effective and inclusive climate policymaking. Twenty-Nine articles of varied study designs were identified employing a systematically organized search strategy using PubMed (Field, MeSH, and advanced search) and Google scholar; relevant data were extracted for further analysis. The Preferred Reporting Items for Systematic Review and Meta-Analysis for Scoping Reviews (PRISMA-ScR) guidelines were followed. Changing climate scenarios had both direct and indirect health-related impacts on indigenous health, and altered the epidemiological triad for various health-related events, causing the emergence and re-emergence of infectious diseases, and increased prevalence of chronic diseases and mental disorders. An expanded framework was developed showcasing the variability of climate change events, multiple disadvantages, and its impacts on indigenous populations. Few studies also reported a wide range of adaptation responses of indigenous peoples towards climate change. It was substantiated that any climate-change mitigation policy must take into account the trials and tribulations of indigenous communities. Also, due to the complexity and large variability of the impacts and differences in mitigation capabilities, policies should be contextualized locally and tailored to meet the climate need of the indigenous community.
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Evidence on factors influencing HPV vaccine implementation in South Asia: A scoping review.
Cervical cancer is a significant public health concern globally, with low and middle-income countries bearing the highest burden, specifically the South Asian region. Therefore, the current scoping review aimed to highlight the factors influencing the implementation of human papillomavirus (HPV) vaccination in South Asia. Adopting the 'Arksey and O'Malley and Levac et al.' methodology, multiple electronic databases were searched to identify relevant records. The results were narratively synthesised and discussed, adopting the Consolidated Framework for Implementation Research (CFIR) model. We identified 527 records, which were assessed for eligibility based on title, abstract, and full text by three reviewers, followed by data extraction of 29 studies included for analysis in the review. Implementing HPV vaccination programs in South Asia faces various challenges, such as economic, health system, financial, health literacy, and sociocultural factors that hinder their successful implementation. To successfully implement the vaccine, a tailored risk communication strategy is necessary for these countries. Knowledge gained from the experience of South Asian nations in implementing the HPV vaccine can assist in policymaking in similar healthcare for advancing the implementation of HPV vaccination.
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The Economic Cost of Rising Non-communicable Diseases in India: A Systematic Literature Review of Methods and Estimates.
Background and objectives: India has one of the world's highest proportions of out-of-pocket expenditure (OOPE) payments. The low share of public health expenditure coupled with the double burden of disease (communicable and non-communicable) has a direct financial impact on individual OOPE and an indirect impact in the form of decreasing life expectancy, reduced productivity, and hence a negative impact on economic growth. This systematic review aims to compare and assess the estimated economic cost of non-communicable diseases (NCDs) in India and ascertain the methods used to derive these estimates. Methods: This paper reviews the past 12-year (2010-22) literature on the economic impact of health shocks due to NCDs. Three databases were searched for the literature: PubMed, Scopus, and Google Scholar. Thematic analysis has been performed to analyse the findings of the study. Results: The OOPE was very high for NCDs. The increasing cost was high and unaffordable, pushing many people into financial distress measured by catastrophic payments and rising impoverishment. Conclusion: The results indicate both the direct and indirect impact of NCDs, but the indirect burden of loss of employment and productivity, despite its relevance, has been less studied in the literature. A robust economic analysis will allow an evidence-based policy decision perspective to reduce the rising burden of NCDs.
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