Sanghmitra Acharya - Academia.edu (original) (raw)

Papers by Sanghmitra Acharya

Research paper thumbnail of Equity in Access to Nutrition through ICDS

Journal of social inclusion studies, Apr 17, 2024

Research paper thumbnail of Healthcare Services for the Elderly Population in NCT of Delhi

Research paper thumbnail of Casting Gender in Violence Against Dalit Women: Perpetrators’ Impunity and Constitutional Responsibility of the State

Sustainable development goals series, Dec 31, 2022

Research paper thumbnail of Differential Access to Maternal and Child Health Across Social Groups

Routledge eBooks, Jul 25, 2023

Research paper thumbnail of Linkage of premature and early menopause with psychosocial well-being: a moderated multiple mediation approach

BMC Psychology

Purpose Menopause occurring before the age of 40 is premature and between 40 and 44 years age is ... more Purpose Menopause occurring before the age of 40 is premature and between 40 and 44 years age is early, since the natural age of menopause lies between 45 and 50. The endocrine changes that come with menopause include an erratic decline in estrogen levels which affects the brain. Thus, leading to changes in cognitive function in the longer term due to the menopausal transition. The study aims to explore the effect of premature and early menopause on cognitive health, and psychosocial well-being. The moderated multiple mediation hypothesis of the study is that the effect of premature or early menopause is mediated by depression and insomnia, while all the pathways are moderated by smoking habits. Data and Methods The study utilized Longitudinal Aging Study in India (LASI), 2017–2018, Wave 1 data. The sample of 31,435 women were aged 45 and above and did not undergo hysterectomy. A moderated multiple mediation model was used to understand the association between premature or early men...

Research paper thumbnail of ‘Breaking Barriers: The Story of a Dalit Chief Secretary’

CASTE / A Global Journal on Social Exclusion

The book ‘Breaking Barriers: The Story of a Dalit Chief Secretary’ published by Emesco Books Priv... more The book ‘Breaking Barriers: The Story of a Dalit Chief Secretary’ published by Emesco Books Private Limited in 2022, and edited by D. Chandrasekhar Reddy, is a powerful account of a journey from fear to fearlessness, from subjugation to assertion and from being no one to becoming a revered exemplary civil servant. Authored by the former IAS officer Kaki Madhava Rao, the book explores the inner mechanism of the civil service at the ground level and casts light on micro policies and governance. Rao was a 1962 batch Indian Administrative Service (IAS) officer who superannuated as Chief Secretary of Andhra Pradesh. He also served as a Director at the Reserve Bank of India and as a member of the Board for Financial Supervision. He was born in 1939, in Pedamaddali village in the Krishna district of Andhra Pradesh. This book is an inspiring account of an astonishing journey of the son of a Parelu,—a farmhand from a Dalit family who breaks the shackles of demeaning existence and challenge...

Research paper thumbnail of Study on depletion of ovarian function and late‐life chronic diseases in India

International Journal of Gynecology & Obstetrics

ObjectiveThe current study aims to understand premature and early menopausal age in association w... more ObjectiveThe current study aims to understand premature and early menopausal age in association with chronic conditions.MethodsThe present cross‐sectional study analyzed nationally representative data from LASI (Longitudinal Aging Study in India) from 2017 to 2018. Bivariate analysis including cross‐tabulation and χ2 tests were performed. Further multiple regression analysis was performed, using the generalized linear model of logit link.ResultsApproximately 2533 (8%) older women reported that they had experienced premature menopause (before age 40), while 3889 (12.4%) reported having early menopause (age 40–44). The likelihood of a woman with premature menopause developing cardiovascular diseases (CVDs) is 15% higher (adjusted odds ratio [AOR], 1.15; P < 0.05) than those who do not experience premature menopause, while women with early menopause have a 13% higher risk (AOR, 1.13; P < 0.05). For women who experienced premature menopause and were also smokers, the probability o...

Research paper thumbnail of Introduction—Marginalization in India—Matters of Inclusion and Access

Mapping Identity-Induced Marginalisation in India, 2022

Research paper thumbnail of Health equity & tribal populations: Challenges & way forward

Indian Journal of Medical Research

Research paper thumbnail of Health Disparity and Health Equity in India: Understanding the Difference and the Pathways Towards Policy

CASTE / A Global Journal on Social Exclusion

Health is essential in all spheres of everyday life. It is crucial for well-being, longevity, and... more Health is essential in all spheres of everyday life. It is crucial for well-being, longevity, and to avail economic and social opportunity. Therefore, resources and services needed to be healthy go beyond medical care. Living and working conditions which promote health assume greater importance as they have the potential to reduce the need for medical care (Daniels, 1981;1Daniels et al., 1999). Therefore, the discourse on health needs to begin from the socioecological framework and move towards the biomedical through the biopsychosocial. The health promoting elements require to be distributed according to need, rather than treated as commodities which can be accessed based on one’s economic propensity. Evidences are aplenty that health status is contingent to health promoting environment, and imbalances in this environment are likely to produce disparities, inequities and inequalities in health.

Research paper thumbnail of Caste and Socioeconomic Inequality in Child Health and Nutrition in India: Evidences from National Family Health Survey

CASTE / A Global Journal on Social Exclusion

This study is on caste inequality in child health outcomes: mortality, malnutrition and anaemia f... more This study is on caste inequality in child health outcomes: mortality, malnutrition and anaemia for the year 1998/99 to year 2019/21 and examines the association of socio-economic factors with outcomes. Disparity ratio (DR) and Concentration Index (CI) are computed to examine inequality in outcomes. The association of socio-economic factors was modelled using logit regression. The study finds marginalised group were more likely to have poor health outcomes. The disparity ratio found increased among SC and ST compared to Others during 1998-99 and 2019-21. The value of the concentration index was found high on U5MR among SC and ST. Among SC and ST, the child health outcome greatly varies for poorest and richest. Odds ratio is 40-60 per cent higher for SC and ST compared to children belonging to Others. On socio-economic factors; land ownership and wealth status contribute significantly but house ownership not so. Caste-based inequality is still impacting health and nutrition of childr...

Research paper thumbnail of Persistent Inequalities in Health-Contextualising the Neglect of Ambedkar’s Contribution

Mapping Identity-Induced Marginalisation in India, 2022

Research paper thumbnail of Health, Safety and Well-Being of Sanitation Workers–Realities of Historical Exclusion and Livelihoods

Health, Safety and Well-Being of Workers in the Informal Sector in India, 2019

This paper covers an overview of works in informal sector and the experiences of sanitation worke... more This paper covers an overview of works in informal sector and the experiences of sanitation workers to explore their social position which provides insights into how their lives are laden with the burden of caste identity experienced through a denial of access to resources and services. Their access to health care, housing, education, basic infrastructure, provisions for work-related safety, safeguards against health hazards, information on various schemes oriented towards their welfare—including legal services and utilization of such schemes—all have largely remained confined within policy documents and recommendations, and the envisioned policy outcomes have failed to materialize.

Research paper thumbnail of The Shadow Pandemic in India: 'Staying Home' and The Safety of Women During Lockdown

Research paper thumbnail of Of Prejudice and Pandemics

Caste, COVID-19, and Inequalities of Care, 2022

This book explores how identity-based discriminations contribute to health disparities and impede... more This book explores how identity-based discriminations contribute to health disparities and impede well-being. In doing so, it both draws from and extends the robust anthropological literature on how social suffering shapes health outcomes, specifically during the COVID-19 pandemic.

Research paper thumbnail of Caste, COVID-19, and Inequalities of Care

People, Cultures and Societies: Exploring and Documenting Diversities, 2022

Research paper thumbnail of Inequality and Exclusion in Access to HealthCare: Learning from the Pandemic

Caste, COVID-19, and Inequalities of Care, 2022

Research paper thumbnail of Urban Development and Emerging Issues of Inclusion, Governance and Sustainability- A Note on Vulnerable Populations in Urban India

Access to resources, services and opportunities has differed for people as individuals and as gro... more Access to resources, services and opportunities has differed for people as individuals and as groups over time and space. Governments and international agencies have strived for equitable distribution and have attempted various measures time and again. Universal access to health care has been one such prime concern for a fairly long time. Emanating from the Alma Ata Declaration ‘Health for All’ in 1978, the signatory countries, including India, have formulated policies and programmes in this direction. However, considering the layers of disparity with which the country is laden- social, religious, ethnic, linguistic and regional, for instance, India has continuously experienced barriers in materializing universal access to health care. Social disparities superimposed on regional, further accentuate the differentials in access to health care and utilization of health services. Urban areas are better endowed with infrastructure as compared to rural areas; within urban, non-slum area i...

Research paper thumbnail of Inequities in health services in India: Caste, Class and Region

Research paper thumbnail of Implementation of Social Protection Programmes in India : Gaps and Challenges

In the context of the post-2015 development, every country is expected to work towards achieving ... more In the context of the post-2015 development, every country is expected to work towards achieving the SDGs through various programmes. It is significant to understand the ‘means of implementation’ and ‘implementation gaps and challenges’ with regard to these programmes. This paper examines two social protection interventions in India linked to the economic and social pillars of the Sustainable Development Goals (SDGs), those of poverty alleviation through the Employment Guarantee Scheme and universal healthcare through selected programmes. The paper examines issues including the integration and mainstreaming of the programmes into the SDGs implementation process; coordination, management, leadership, stakeholders’ participation, accountability, monitoring and financing; and implementationrelated gaps and challenges. Evidence suggests that the implementation of the programmes faces strategic-, engagement- and evaluation-related challenges. It remains a challenge to equitably...

Research paper thumbnail of Equity in Access to Nutrition through ICDS

Journal of social inclusion studies, Apr 17, 2024

Research paper thumbnail of Healthcare Services for the Elderly Population in NCT of Delhi

Research paper thumbnail of Casting Gender in Violence Against Dalit Women: Perpetrators’ Impunity and Constitutional Responsibility of the State

Sustainable development goals series, Dec 31, 2022

Research paper thumbnail of Differential Access to Maternal and Child Health Across Social Groups

Routledge eBooks, Jul 25, 2023

Research paper thumbnail of Linkage of premature and early menopause with psychosocial well-being: a moderated multiple mediation approach

BMC Psychology

Purpose Menopause occurring before the age of 40 is premature and between 40 and 44 years age is ... more Purpose Menopause occurring before the age of 40 is premature and between 40 and 44 years age is early, since the natural age of menopause lies between 45 and 50. The endocrine changes that come with menopause include an erratic decline in estrogen levels which affects the brain. Thus, leading to changes in cognitive function in the longer term due to the menopausal transition. The study aims to explore the effect of premature and early menopause on cognitive health, and psychosocial well-being. The moderated multiple mediation hypothesis of the study is that the effect of premature or early menopause is mediated by depression and insomnia, while all the pathways are moderated by smoking habits. Data and Methods The study utilized Longitudinal Aging Study in India (LASI), 2017–2018, Wave 1 data. The sample of 31,435 women were aged 45 and above and did not undergo hysterectomy. A moderated multiple mediation model was used to understand the association between premature or early men...

Research paper thumbnail of ‘Breaking Barriers: The Story of a Dalit Chief Secretary’

CASTE / A Global Journal on Social Exclusion

The book ‘Breaking Barriers: The Story of a Dalit Chief Secretary’ published by Emesco Books Priv... more The book ‘Breaking Barriers: The Story of a Dalit Chief Secretary’ published by Emesco Books Private Limited in 2022, and edited by D. Chandrasekhar Reddy, is a powerful account of a journey from fear to fearlessness, from subjugation to assertion and from being no one to becoming a revered exemplary civil servant. Authored by the former IAS officer Kaki Madhava Rao, the book explores the inner mechanism of the civil service at the ground level and casts light on micro policies and governance. Rao was a 1962 batch Indian Administrative Service (IAS) officer who superannuated as Chief Secretary of Andhra Pradesh. He also served as a Director at the Reserve Bank of India and as a member of the Board for Financial Supervision. He was born in 1939, in Pedamaddali village in the Krishna district of Andhra Pradesh. This book is an inspiring account of an astonishing journey of the son of a Parelu,—a farmhand from a Dalit family who breaks the shackles of demeaning existence and challenge...

Research paper thumbnail of Study on depletion of ovarian function and late‐life chronic diseases in India

International Journal of Gynecology & Obstetrics

ObjectiveThe current study aims to understand premature and early menopausal age in association w... more ObjectiveThe current study aims to understand premature and early menopausal age in association with chronic conditions.MethodsThe present cross‐sectional study analyzed nationally representative data from LASI (Longitudinal Aging Study in India) from 2017 to 2018. Bivariate analysis including cross‐tabulation and χ2 tests were performed. Further multiple regression analysis was performed, using the generalized linear model of logit link.ResultsApproximately 2533 (8%) older women reported that they had experienced premature menopause (before age 40), while 3889 (12.4%) reported having early menopause (age 40–44). The likelihood of a woman with premature menopause developing cardiovascular diseases (CVDs) is 15% higher (adjusted odds ratio [AOR], 1.15; P < 0.05) than those who do not experience premature menopause, while women with early menopause have a 13% higher risk (AOR, 1.13; P < 0.05). For women who experienced premature menopause and were also smokers, the probability o...

Research paper thumbnail of Introduction—Marginalization in India—Matters of Inclusion and Access

Mapping Identity-Induced Marginalisation in India, 2022

Research paper thumbnail of Health equity & tribal populations: Challenges & way forward

Indian Journal of Medical Research

Research paper thumbnail of Health Disparity and Health Equity in India: Understanding the Difference and the Pathways Towards Policy

CASTE / A Global Journal on Social Exclusion

Health is essential in all spheres of everyday life. It is crucial for well-being, longevity, and... more Health is essential in all spheres of everyday life. It is crucial for well-being, longevity, and to avail economic and social opportunity. Therefore, resources and services needed to be healthy go beyond medical care. Living and working conditions which promote health assume greater importance as they have the potential to reduce the need for medical care (Daniels, 1981;1Daniels et al., 1999). Therefore, the discourse on health needs to begin from the socioecological framework and move towards the biomedical through the biopsychosocial. The health promoting elements require to be distributed according to need, rather than treated as commodities which can be accessed based on one’s economic propensity. Evidences are aplenty that health status is contingent to health promoting environment, and imbalances in this environment are likely to produce disparities, inequities and inequalities in health.

Research paper thumbnail of Caste and Socioeconomic Inequality in Child Health and Nutrition in India: Evidences from National Family Health Survey

CASTE / A Global Journal on Social Exclusion

This study is on caste inequality in child health outcomes: mortality, malnutrition and anaemia f... more This study is on caste inequality in child health outcomes: mortality, malnutrition and anaemia for the year 1998/99 to year 2019/21 and examines the association of socio-economic factors with outcomes. Disparity ratio (DR) and Concentration Index (CI) are computed to examine inequality in outcomes. The association of socio-economic factors was modelled using logit regression. The study finds marginalised group were more likely to have poor health outcomes. The disparity ratio found increased among SC and ST compared to Others during 1998-99 and 2019-21. The value of the concentration index was found high on U5MR among SC and ST. Among SC and ST, the child health outcome greatly varies for poorest and richest. Odds ratio is 40-60 per cent higher for SC and ST compared to children belonging to Others. On socio-economic factors; land ownership and wealth status contribute significantly but house ownership not so. Caste-based inequality is still impacting health and nutrition of childr...

Research paper thumbnail of Persistent Inequalities in Health-Contextualising the Neglect of Ambedkar’s Contribution

Mapping Identity-Induced Marginalisation in India, 2022

Research paper thumbnail of Health, Safety and Well-Being of Sanitation Workers–Realities of Historical Exclusion and Livelihoods

Health, Safety and Well-Being of Workers in the Informal Sector in India, 2019

This paper covers an overview of works in informal sector and the experiences of sanitation worke... more This paper covers an overview of works in informal sector and the experiences of sanitation workers to explore their social position which provides insights into how their lives are laden with the burden of caste identity experienced through a denial of access to resources and services. Their access to health care, housing, education, basic infrastructure, provisions for work-related safety, safeguards against health hazards, information on various schemes oriented towards their welfare—including legal services and utilization of such schemes—all have largely remained confined within policy documents and recommendations, and the envisioned policy outcomes have failed to materialize.

Research paper thumbnail of The Shadow Pandemic in India: 'Staying Home' and The Safety of Women During Lockdown

Research paper thumbnail of Of Prejudice and Pandemics

Caste, COVID-19, and Inequalities of Care, 2022

This book explores how identity-based discriminations contribute to health disparities and impede... more This book explores how identity-based discriminations contribute to health disparities and impede well-being. In doing so, it both draws from and extends the robust anthropological literature on how social suffering shapes health outcomes, specifically during the COVID-19 pandemic.

Research paper thumbnail of Caste, COVID-19, and Inequalities of Care

People, Cultures and Societies: Exploring and Documenting Diversities, 2022

Research paper thumbnail of Inequality and Exclusion in Access to HealthCare: Learning from the Pandemic

Caste, COVID-19, and Inequalities of Care, 2022

Research paper thumbnail of Urban Development and Emerging Issues of Inclusion, Governance and Sustainability- A Note on Vulnerable Populations in Urban India

Access to resources, services and opportunities has differed for people as individuals and as gro... more Access to resources, services and opportunities has differed for people as individuals and as groups over time and space. Governments and international agencies have strived for equitable distribution and have attempted various measures time and again. Universal access to health care has been one such prime concern for a fairly long time. Emanating from the Alma Ata Declaration ‘Health for All’ in 1978, the signatory countries, including India, have formulated policies and programmes in this direction. However, considering the layers of disparity with which the country is laden- social, religious, ethnic, linguistic and regional, for instance, India has continuously experienced barriers in materializing universal access to health care. Social disparities superimposed on regional, further accentuate the differentials in access to health care and utilization of health services. Urban areas are better endowed with infrastructure as compared to rural areas; within urban, non-slum area i...

Research paper thumbnail of Inequities in health services in India: Caste, Class and Region

Research paper thumbnail of Implementation of Social Protection Programmes in India : Gaps and Challenges

In the context of the post-2015 development, every country is expected to work towards achieving ... more In the context of the post-2015 development, every country is expected to work towards achieving the SDGs through various programmes. It is significant to understand the ‘means of implementation’ and ‘implementation gaps and challenges’ with regard to these programmes. This paper examines two social protection interventions in India linked to the economic and social pillars of the Sustainable Development Goals (SDGs), those of poverty alleviation through the Employment Guarantee Scheme and universal healthcare through selected programmes. The paper examines issues including the integration and mainstreaming of the programmes into the SDGs implementation process; coordination, management, leadership, stakeholders’ participation, accountability, monitoring and financing; and implementationrelated gaps and challenges. Evidence suggests that the implementation of the programmes faces strategic-, engagement- and evaluation-related challenges. It remains a challenge to equitably...