India - Exploring Potential Barriers and Facilitators to Integrate Tuberculosis, Diabetes Mellitus, and Tobacco-Control Programs in India

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Many low- and middle-income countries (LMICs) are facing both a persistent burden of infectious diseases and an emerging burden of chronic non-communicable diseases (NCDs). Tuberculosis (TB) co-exists with other NCDs, including diabetes mellitus (DM). Smoking increases the risk of both TB and DM. Health systems in many LMICs are ill-prepared and currently facing the “triple burden of smoking, TB, and DM”, which drives these countries into the vicious cycle of poverty.

We will create the stakeholder network and link researchers and policymakers to discuss enablers and barriers and develop models for the integration of TB, DM, and tobacco control programs at primary health care centres, district, provincial, and national levels. We will conduct formative research using realist evaluation, concept mapping, and social network analysis to guide the model developments.

The collaboration envisaged in the project between Sweden, India and Indonesia will help identifying priority areas and strategies for integration of TB, DM, and tobacco control in LMICs, which can be modified and applied in the context of High-Income Country (Sweden). Project activities include workshops, discussions with policy level public health stakeholders, data analysis, paper and proposal writing in quarter 2 of 2022. This research link project will enhance research capacity and competence of researchers from Institutions in India and Indonesia for designing implementation research to strengthen the health systems.

TOPICS

(1) Service delivery

(2) Health workforce

(3) Health information system

(4) Financing

(5) Governance and leadership

(6) Access to essential medicine

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