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Umakant Dash

Bio: Umakant Dash is an academic researcher from Indian Institute of Technology Madras. The author has contributed to research in topics: Public health & Health care. The author has an hindex of 10, co-authored 52 publications receiving 522 citations. Previous affiliations of Umakant Dash include International Union Against Tuberculosis and Lung Disease & Sree Chitra Thirunal Institute for Medical Sciences and Technology.


Papers
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Journal ArticleDOI
TL;DR: Greater use of risk pooling mechanisms would encourage the poor to seek health care and also to protect households from all socio-economic groups from catastrophic expenditure.
Abstract: Urban residents in India face important health problems due to unhygienic conditions, excessive crowding and lack of proper sanitation. The private sector has started occupying the centre stage of the health system and households are burdened with increasing levels of health expenditure. This paper aims to study out-of-pocket expenditure (OOPE) and the extent of catastrophic payments for health care among households in a highly urbanised state, Tamil Nadu. The study used data on morbidity and health care for the year 2004 collected by the National Sample Survey Organization, India. Care was sought for 84 per cent of illness episodes in urban areas, and the majority used private sector providers (67 per cent for inpatients and 78 per cent for outpatients). Mean OOPE for inpatients and outpatients was higher for households with higher income. The average cost burden per visit was higher among those who sought care from private providers for inpatient services (29 per cent of household consumption expenditure) and outpatient services (20% of household consumption expenditure) compared with the burden associated with public health service use (3–4 per cent of consumption expenditure). About 60 per cent of households which used private health services faced catastrophic payments at the 10 per cent threshold level. To avoid catastrophic expenditure, greater use of the public sector which is providing services at an affordable cost is needed. Improving access to public health services, better gate-keeping systems, stronger controls on drug prices and increasing the quality of services are required to reduce the incidence of catastrophic expenditure both on inpatients and outpatients. Greater use of risk pooling mechanisms would encourage the poor to seek health care and also to protect households from all socio-economic groups from catastrophic expenditure. Copyright © 2009 John Wiley & Sons, Ltd.

32 citations

Journal ArticleDOI
TL;DR: The Data Envelopment Analysis approach, a well-known operations research technique for evaluating the relative efficiency of a set of similar decision making units (DMU), was used to estimate the efficiency of public hospitals in Tamil Nadu, and it was found that 52 per cent were technically efficient and lie on the efficiency frontier.
Abstract: The Government of Tamil Nadu state in India has been implementing various health sector reforms (for example, expansion and upgradation of public health facilities, provision of round the clock ser...

32 citations

Journal ArticleDOI
01 Jun 2020
TL;DR: A strong positive association between health expenditure and universal health coverage index is found that implies a 1% increase in public health expenditure leads to a 0.26% rise in healthcare services coverage.
Abstract: This study examines the effectiveness of health expenditure on healthcare goals in South-East Asia Region for the period from 2000 to 2014 using system generalized method of moment model. In this study, aggregate health expenditure data have been divided into two components—public and private. Both public and private health expenditure components are segregated into four categories of expenditure—government health expenditure from domestic sources, external assistance of health to the government, private out-of-pocket (i.e., household expenditure), and private not out-of-pocket (i.e., insurance). Certain health status indicators have been adopted as healthcare goals—life expectancy, infant mortality, universal health coverage index; immunization coverage, the prevalence of undernourishment, and Tb cases detection rate. The empirical result finds that aggregate health expenditure, especially public health expenditure, shows positive effects on the improvement in life expectancy and reduction of infant mortality. But the relationship between health expenditure and healthcare goals is weak (i.e., inelastic) and the elasticity values are numerically small than the non-health factors especially female education and per capita income. We have found a strong positive association between health expenditure and universal health coverage index that implies a 1% increase in public health expenditure leads to a 0.26% rise in healthcare services coverage. Further, female education has shown strong effects on the reduction of undernourishment population and increase immunization coverage. Increased public expenditure on health through domestic revenue generation and improved government effectiveness could be suggestive policy implications for achieving better health outcomes.

19 citations


Cited by
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Mohsen Naghavi1, Haidong Wang1, Rafael Lozano1, Adrian Davis2  +728 moreInstitutions (294)
TL;DR: In the Global Burden of Disease Study 2013 (GBD 2013) as discussed by the authors, the authors used the GBD 2010 methods with some refinements to improve accuracy applied to an updated database of vital registration, survey, and census data.

5,792 citations

Journal Article
TL;DR: The continuing convergence of the digital marketing and sales funnels has created a strategic continuum from digital lead generation to digital sales, which identifies the current composition of this digital continuum while providing opportunities to evaluate sales and marketing digital strategies.
Abstract: MKT 6009 Marketing Internship (0 semester credit hours) Student gains experience and improves skills through appropriate developmental work assignments in a real business environment. Student must identify and submit specific business learning objectives at the beginning of the semester. The student must demonstrate exposure to the managerial perspective via involvement or observation. At semester end, student prepares an oral or poster presentation, or a written paper reflecting on the work experience. Student performance is evaluated by the work supervisor. Pass/Fail only. Prerequisites: (MAS 6102 or MBA major) and department consent required. (0-0) S MKT 6244 Digital Marketing Strategy (2 semester credit hours) Executive Education Course. The course explores three distinct areas within marketing and sales namely, digital marketing, traditional sales prospecting, and executive sales organization and strategy. The continuing convergence of the digital marketing and sales funnels has created a strategic continuum from digital lead generation to digital sales. The course identifies the current composition of this digital continuum while providing opportunities to evaluate sales and marketing digital strategies. Prerequisites: MKT 6301 and instructor consent required. (2-0) Y MKT 6301 (SYSM 6318) Marketing Management (3 semester credit hours) Overview of marketing management methods, principles and concepts including product, pricing, promotion and distribution decisions as well as segmentation, targeting and positioning. (3-0) S MKT 6309 Marketing Data Analysis and Research (3 semester credit hours) Methods employed in market research and data analysis to understand consumer behavior, customer journeys, and markets so as to enable better decision-making. Topics include understanding different sources of data, survey design, experiments, and sampling plans. The course will cover the techniques used for market sizing estimation and forecasting. In addition, the course will cover the foundational concepts and techniques used in data visualization and \"story-telling\" for clients and management. Corequisites: MKT 6301 and OPRE 6301. (3-0) Y MKT 6310 Consumer Behavior (3 semester credit hours) An exposition of the theoretical perspectives of consumer behavior along with practical marketing implication. Study of psychological, sociological and behavioral findings and frameworks with reference to consumer decision-making. Topics will include the consumer decision-making model, individual determinants of consumer behavior and environmental influences on consumer behavior and their impact on marketing. Prerequisite: MKT 6301. (3-0) Y MKT 6321 Interactive and Digital Marketing (3 semester credit hours) Introduction to the theory and practice of interactive and digital marketing. Topics covered include: online-market research, consumer behavior, conversion metrics, and segmentation considerations; ecommerce, search and display advertising, audiences, search engine marketing, email, mobile, video, social networks, and the Internet of Things. (3-0) T MKT 6322 Internet Business Models (3 semester credit hours) Topics to be covered are: consumer behavior on the Internet, advertising on the Internet, competitive strategies, market research using the Internet, brand management, managing distribution and supply chains, pricing strategies, electronic payment systems, and developing virtual organizations. Further, students learn auction theory, web content design, and clickstream analysis. Prerequisite: MKT 6301. (3-0) Y MKT 6323 Database Marketing (3 semester credit hours) Techniques to analyze, interpret, and utilize marketing databases of customers to identify a firm's best customers, understanding their needs, and targeting communications and promotions to retain such customers. Topics

5,537 citations

Journal ArticleDOI
TL;DR: Concerns are growing that the multimorbidity associated with HIV disease could affect healthy ageing and overwhelm some health-care systems, particularly those in resource-limited regions that have yet to develop a chronic care model fully.

1,460 citations

Journal ArticleDOI
TL;DR: Global trends and regional variation in premature mortality attributable to CVD are described and the limitations of existing models of epidemiological transitions for explaining the observed distribution and trends of CVD mortality are described.
Abstract: There is a global commitment to reduce premature cardiovascular diseases (CVDs) 25% by 2025. CVD mortality rates have declined dramatically over the past 2 decades, yet the number of life years lost to premature CVD deaths is increasing in low- and middle-income regions. Ischemic heart disease and stroke remain the leading causes of premature death in the world; however, there is wide regional variation in these patterns. Some regions, led by Central Asia, face particularly high rates of premature death from ischemic heart disease. Sub-Saharan Africa and Asia suffer disproportionately from death from stroke. The purpose of the present report is to (1) describe global trends and regional variation in premature mortality attributable to CVD, (2) review past and current approaches to the measurement of these trends, and (3) describe the limitations of existing models of epidemiological transitions for explaining the observed distribution and trends of CVD mortality. We describe extensive variation both between and within regions even while CVD remains a dominant cause of death. Policies and health interventions will need to be tailored and scaled for a broad range of local conditions to achieve global goals for the improvement of cardiovascular health.

691 citations

01 Jan 2010
TL;DR: In this article, the International Seminar on Information and Communication Technology Statistics, 19-21 July 2010, Seoul, Republic of Korea, 19 and 21 July 2010 was held. [
Abstract: Meeting: International Seminar on Information and Communication Technology Statistics, Seoul, Republic of Korea, 19-21 July 2010

619 citations