Public Health

Public Health is a key focus area for GRAAM as evidenced by the fact that a significant portion of its research work and advocacy efforts are in the domain of public health. Within public health, GRAAM is working on the following issues.

National Health Policy

Dr. R Balasubramaniam and Rohit Shetti presented inputs based on GRAAM’s experience in public health in a State level consultation conducted by the Ministry of Health and Family Welfare, Govt. of India in Bangalore.

This presentation focused on  demedicalization of health, ways of addressing regional disparities in health, better working conditions for frontline workers, strengthening of community monitoring initiatives, quality issues in health care and being prepared for the ageing population of India.  More importantly moving away from the approach of integrating AYUSH into mainstream and considering it as an alternative to building the health care system of India keeping its inherent and traditional knowledge at the centre.


GRAAM engaged in the facilitation of bringing together stakeholders to amend certain provisions of the Narcotic Drugs and Psychotropic Substances Act, 1985. The amendment seeks to ensure the availability of essential narcotic medicines to patients while upholding regulations on preventing misuse and diversion. The amendment also seeks to have a uniform national policy on the selected medicines.

Discussions were held with stakeholders, MPs of  different political parties and also with key bureaucrats in the Ministries of Health as well as Finance to bring awareness and highlight the importance of the amendments required. The amendment to the act was proposed and  it was passed by the Parliament of India on 21st Feb 2014.  

Regional disparities in health services in Karnataka

GRAAM’s evaluation of the National Rural Health Mission in Karnataka has found  severe regional disparities in health services in Karnataka.       Study recommended a relook into funding approach and strongly advocated to shift from  facilities based funding  to a need-based funding approach.

Policy for chronic diseases

Being a member of Karnataka Knowledge Commission’s Mission group on Public Health and Department of Planning’s Expert Group on Health, Dr. R Balasubramaniam has been  able to make an active contribution to a policy for chronic diseases.

Projects / Programmes

  • Ongoing Projects
  • Completed Projects
# Name of the Project Assignment Partner Thematic Area Project Type Assignment Period
1 NISHTHA: Transforming Comprehensive Healthcare in India Jhpiego Public Health Social Impact Assessment & Evaluation Dec 2020 - Jun 2022
# Name of the Project Assignment Partner Thematic Area Project Type Assignment Period
1 Demand Side Assessment of Primary Health Care in Assam World Health Organisation Public Health Social Impact Assessment & Evaluation Sep 2019 - Jun 2020
2 Outsourcing Formulation of Policy Options and Legal Implications for Enabling Prescription and Dispensing by Mid-Level Health Workers and Nurses for Primary Health Care in India. World Health Organisation Public Health Policy Engagement Jun 2019 - Dec 2019
3 Adolescent Wellbeing- a Preliminary Study in Karnataka’s Government Schools PAGE Industries Limited Public Health Social Impact Assessment & Evaluation Oct 2019 - Mar 2020
4 Evaluation study of Out Of Pocket Expenditure Incurred for Maternal Health Care by BPL Women in Karnataka in Public Health facilities. Karnataka Evaluation Authority (KEA) Public Health Social Impact Assessment & Evaluation Jan 2019 - Mar 2020
5 School Toilet Requirement - Need Assessment Study Toyota Public Health Social Impact Assessment & Evaluation Oct 2018 - Dec 2018
6 Project Samvarthana: A Convergent Approach to Child Survival & Development UNICEF Public Health Strategic Consultation Nov 2015 - Oct 2016
7 Study of Health Need Assessment in the selected Graam Panchayat of Ramanagara District, Karnataka Toyota Public Health Strategic Consultation Sep 2015 - Nov 2015
8 Study of the Performance of 24 X 7 PHCs in the ‘C’ Category Districts of Karnataka Karnataka State Health System Resource Centre (KSHSRC) Public Health Social Impact Assessment & Evaluation May 2014 - Oct 2014
9 A study of nutrition among tribes - a project in collaboration with Azim Premji University Azim Premji University Public Health Development Research Apr 2013 - Nov 2014

Partnership & Collaboration

GRAAM Members with Expertise

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