Postgraduate Institute of Medical Education and Research, Chandigarh
स्नातकोत्तर चिकित्सा शिक्षा एवं अनुसंधान संस्थान, चंडीगढ़
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Identification of Factors Contributing to out-of-Pocket Expenditure on Medicine

The share of expenditure on medicines as part of the total out-of-pocket (OOP) expenditure on healthcare services has been reported to be much higher in India than in other countries. This study was conducted to ascertain the extent of this share of medicine expenditure using a novel methodology.

PI: Dr Shankar Prinja
Funding: NHSRC
Year: 2020
Status: Completed
Comprehensive Primary Health Care: Innovation and Learning Centre (CPHC-ILC) 1.0

In order to understand how the roll-out of the Ayushman Bharat- Health and Wellness Centre programme takes place in Punjab, a support centre for testing innovations and generating learnings for scaling up of the programme, was established in the Department of Community Medicine and School of Public Health, PGIMER, Chandigarh in collaboration with the National Health Systems Resource Centre, New Delhi and the State Health Society, Punjab. The ?Innovation and Learning 2022 New Delhi Centre for comprehensive primary healthcare (CPHC-ILC)? supports the state implementation team for change management through technical inputs on the components of CPHC, training and capacity building, and works closely at the ground level to address implementation issues in service delivery of CPHC.

PI: Dr Shankar Prinja
Funding: NHSRC
Year: 2020
Status: Ongoing
Developing a EQ5D5L Quality of Life Value Set for Indian Population

This is the largest 5-level version EQ-5D (EQ-5D-5L) valuation study conducted so far/worldwide and the first preference-based valuation study in South Asia. The study was conducted using a novel design in around 3500 respondents across six states of India. By developing the EQ-5D-5L value set for India, this study fills the long-existing evidence gap in the field of health technology assessment (HTA) in India. The value set generated as a part of this study will help to correctly assess the quality-adjusted life-years (QALYs) in Indian studies.

PI: Dr Shankar Prinja
Funding: Department of Health Research
Year: 2019
Status: Completed
Support to Conduct Online Courses in Basic Health Economics and Economic Evaluation for HTA

Online courses in health economics are envisaged to promulgate the principles of basic health economics and economic evaluation for health technology assessment (HTA). These courses are being delivered with the ?Support to Conduct Online Courses in Basic Health Economics and Economic Evaluation for Health Technology Assessment? by the HRD Scheme of the Department of Health Research. The online course in basic health economics is of three months duration while the advanced course is of five months duration. Each course comprises six modules that cover topics pertinent to sensitise policymakers, program implementers, researchers, academicians, clinicians, and other health-related professionals. These users are from varied educational and professional backgrounds ranging from researchers and clinicians to top-level policy & decision-makers. These courses orient the audience towards the dynamics behind resource allocation decisions using economic evidence as the mainstay. The salient feature is enabling this understanding to be contextualised to the Indian health system.

PI: Dr Shankar Prinja
Funding: Department of Health Research
Year: 2019
Status: Ongoing
Impact Evaluation of National Rural Health Mission in India

PI: Dr Shankar Prinja
Funding: NITI Aayog
Year: 2019
Status: Completed
Economic Impact of Typhoid and Cost effectiveness of strategies for prevention Evaluation of Typhoid

World Health Organization has prequalified the use of typhoid conjugate vaccine (TCV) in children over six months of age in typhoid endemic countries. The present study assessed the cost-effectiveness of introducing TCV separately for urban and rural areas of India. From a societal perspective, introduction of TCV is a cost saving strategy in urban India. Further, due to low incidence of typhoid infection, introduction of TCV is not cost-effective in rural settings of India

PI: Dr Shankar Prinja
Funding: Evaluation of National Multi-stakeholder Action Plan for NCDs in India
Year: 2019
Status: Completed
Costing of Health Services in India (CHSI)

The ?Cost of Health Services in India (CHSI)? is the first large scale multi-site facility costing study to incorporate evidence from a national sample of both private and public sectors at different levels of the health system in India. A total of 38 public (11 tertiary care and 27 secondary care) and 16 private hospitals were sampled from 11 states of India. From the sampled facilities, a total of 327 specialties were included, with 48, 79 and 200 specialties covered in tertiary, private and district hospitals respectively. A mixed methodology consisting of both bottom-up and top-down costing was used for data collection.

PI: Dr Shankar Prinja
Funding: Department of Health Research
Year: 2018
Status: Completed
Evaluation of the ?Bhai Ghanhya Sehat Sewa Scheme? (BGSSS) in the state of Punjab, India

PI: Dr Shankar Prinja
Funding: Punjab Government
Year: 2017
Status: Completed
Economic Assessment of health impact and economic costs associated with unsafe & unnecessary injections and unsafe biomedical waste disposal in Punjab state and for India.

Globally, 16 billion injections are administered each year of which 95% are for curative care. India contributes 25?30% of the global injection load. Over 63% of these injections are reportedly unsafe or deemed unnecessary. The objective of the current study was to assess the incremental cost per quality-adjusted life-year (QALY) gained with the introduction of safety-engineered syringes (SES) as compared to disposable syringes for therapeutic care in India. The study findings revealed that RUP syringes are estimated to be cost-effective in the Indian context. SIP and RUP?+?SIP syringes are not cost-effective at the current unit prices. Efforts should be made to bring down the price of SES to improve its cost-effectiveness

PI: Dr Shankar Prinja
Funding: WHO India
Year: 2017
Status: Completed
Comparative cost-effectiveness of nurse-mentoring models in India

PI: Dr Shankar Prinja
Funding: Bill and Melinda Gates Foundation (BMGF)
Year: 2017
Status: Completed