Adoption of Health Technologies in India: Implications for the AIDS Vaccine (Studies in Economic and Social Development)

237 Pages·2007·0.703 MB·English

by  Indrani Gupta, Mayur Trivedi, Subodh Kandamuthan

Adoption of Health
Technologies in India

Adoption of Health
Technologies in India
I AIDS V
MPLICATIONS FOR THE ACCINE
Indrani Gupta
Mayur Trivedi
Subodh Kandamuthan
Studies in Economic and Social Development No. 68
Institute of Economic Growth
SAGE Publications
Los Angeles/London/New Delhi/Singapore
Copyright © Institute of Economic Growth, 2007
Studies in Economic and Social Development No. 68
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Library of Congress Cataloging-in-Publication Data
Gupta, Indrani.
Adoption of health technologies in India: implications for the AIDS
vaccine/Indrani Gupta, Mayur Trivedi, Subodh Kandamuthan.
p. cm.—(Studies in economic and social development; no. 68)
Includes bibliographical references and index.
1. AIDS vaccines—India. 2. HIV infections—India. I. Trivedi, Mayur,
1976- II. Kandamuthan, Subodh, 1976- III. Title. IV. Series.
[DNLM:1. AIDS Vaccines—therapeutic use—India.2. Disease Outbreaks—
prevention & control—India.3. HIV Infections—therapy—India.4. Health
Policy—India.5. Health Services Accessibility—India.6. Technology
Transfer—India. WC 503.6 G9766a 2007]
QR189.5.A33G87 615'.3720954—dc22 2007 2007014171
ISBN: 978–0–7619–3590–2 (PB) 978–81–7829–739–2 (India–PB)
The Sage Team: Sugata Ghosh, Gayatri E. Koshy and Mathew P.J.
To
the memory of
Sujata Mukherjee
Ma, you are always with us.

Contents
Foreword by Kanchan Chopra 11
Acknowledgements 14
Executive Summary 16
PART I
Adopting the AIDS Vaccine in India:
Prognosis and Prospectus
CHAPTER 1 INTRODUCTION AND RATIONALE
FOR THE STUDY 21
1.1 Need for an AIDS Vaccine in India 21
1.2 Access to a Health Technology 24
1.3 Rationale and Conceptual Framework 27
CHAPTER 2 INTRODUCTION TO SELECTED
HEALTH TECHNOLOGIES 37
2.1 Universal Immunisation Programme (UIP) 37
2.2 Hepatitis B Vaccine (Hep B) 39
2.3 No-Scalpel Vasectomy (NSV) 41
2.4 Voluntary Counselling and Testing (VCT) 43
2.5 Antiretroviral Therapy (ART) 45
8 Adoption of Health Technologies in India
CHAPTER 3 ADOPTION OF HEALTH TECHNOLOGIES
IN INDIA: A SUMMARY OF MAJOR
FINDINGS 49
3.1 Timing of Adoption 49
3.2 Appropriateness and Adaptability 51
3.3 Policy Framework of Adoption 52
3.4 Supply Issues 55
3.5 Distribution Issues 56
3.6 Demand Issues 57
CHAPTER 4 LESSONS FOR THE ADOPTION
OF THE AIDS VACCINE 63
4.1 Timing of Adoption 63
4.2 Appropriateness and Adaptability 64
4.3 Policy Framework of Adoption 64
4.4 Supply Issues 66
4.5 Distribution Issues 66
4.6 Demand Issues 67
CHAPTER 5 SUMMARY AND CONCLUSIONS 70
PART II
Analysis: Selected Case Studies of
Adoption of Health Technologies in India
CHAPTER 6 UNIVERSAL IMMUNISATION
PROGRAMME 77
6.1 Introduction 77
6.2 Timing of Adoption 78
6.3 Appropriateness and Adaptability 79
6.4 Policy Framework of Adoption 79
6.5 Supply Issues 82
Contents 9
6.6 Distribution Issues 86
6.7 Demand Issues 89
6.8 Overview and Lessons 92
CHAPTER 7 HEPATITIS B IMMUNISATION 94
7.1 Introduction 94
7.2 Timing of Adoption 95
7.3 Appropriateness and Adaptability 97
7.4 Policy Framework of Adoption 102
7.5 Supply Issues 104
7.6 Distribution Issues 108
7.7 Demand Issues 109
7.8 Overview and Lessons 110
CHAPTER 8 NO-SCALPEL VASECTOMY 113
8.1 Introduction 113
8.2 Timing of Adoption 115
8.3 Appropriateness and Adaptability 122
8.4 Policy Framework of Adoption 122
8.5 Supply Issues 128
8.6 Distribution Issues 130
8.7 Demand Issues 130
8.8 Overview and Lessons 149
CHAPTER 9 VOLUNTARY COUNSELLING
AND TESTING 151
9.1 Introduction 151
9.2 Timing of Adoption 154
9.3 Appropriateness and Adaptability 155
9.4 Policy Framework of Adoption 157
9.5 Supply Issues 161
9.6 Distribution Issues 168