Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Lakshman M[original query] |
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Funding and accountability in public programs: Implications for Disease Intervention Specialists (DIS)
Romaguera RA , Lakshman M . Sex Transm Dis 2023 50 S23-S27 Public health agencies are held accountable in a variety of ways: directly to funders, heads of the executive branch, and boards of health where applicable, and indirectly to the communities they serve.”1“In addition to their own accountability for discharging their statutory duties and using federal, state, and local funding appropriately, public health agencies are stewards of a community’s overall health and can play the role of monitors, conveners, or rapporteurs with respect to the performance and accomplishments of other stakeholders in the health system.”1This paper will examine various elements and types of accountabilities and provide examples of governmental and non-governmental accountability systems that are relevant to CDC-funded programs, including those supporting Disease Intervention Specialists (DIS). |
Assessment of performance of blood banks in India: A national level cross sectional study
Asirvatham ES , Mammen JJ , Lakshman J , Sarman CJ , Charles B , Upadhyaya S , Rajan S . Indian J Hematol Blood Transfus 2021 37 (4) 640-647 India lacks comprehensive information about blood transfusion systems, which could help ensure universal access to safe blood through evidence-based strategies and programs. We conducted the first national assessment of blood bank systems, services, practices, and performance in India. We conducted a cross-sectional survey of all 2626 blood banks and assessed the administrative, technical, and quality aspects in 2016. In addition to descriptive analysis, we compared the means of different variables using independent t-test or ANOVA and a generalized linear model. We performed linear regression analysis between the collection of blood per 100 people and the number of blood banks per million people. The disaggregated mean score of quality management system and overall performance are presented by different groups. Besides, we graded the performance based on tertile classification, as low, medium and high-performance blood banks. Of the 2493 blood banks that participated in the study, most were public (38%) or not-for-profit(38%), and 51% had component separation facilities. Of the 11.65 million units of blood collected annually, 72% was through voluntary blood donation. There were 2.2 blood banks per one million people, collecting around one unit per 100 persons annually with wide variation between states. The mean overall performance score was 62(95% confidence interval [CI]:61.6–62.5), and the mean quality management system score was 57.4(95% CI:56.8–58.0), with significant variation across different categories of blood banks. This assessment provides critical information for developing evidence-based policies, programs, and monitoring systems to improve the performance of blood transfusion services in India. |
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