Adoption of Health Technologies in India: Implications for by Indrani Gupta

By Indrani Gupta

The 1st of its sort, this booklet examines the adoption of 4 future health applied sciences in India-Hepatitis B, No Scalpel Vasectomy, Voluntary Counseling and trying out, and Antiretroviral therapy. utilizing a suite of parameters, the authors not just convey to gentle some of the dimensions, strengths, and weaknesses of adoption of healthiness applied sciences in India, but in addition how and the place extra cognizance should be paid in regards to the adoption of the AIDS vaccine.

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It envisages that within the next few years every district in the country will be equipped with HIV testing facilities, thereby ensuring that pre- and post-test quality counselling become critical. An analysis of VCT in the country helps in understanding a technology where human resources are critical, and which is delivered, unlike many other health technologies, as a somewhat personalised service. Availability and accessibility define quality in this case. A study of VCT, therefore, offers valuable insights into the possible pitfalls of such a human-intensive technology, the understanding Introduction to Selected Health Technologies 45 of which is critical in the context of the AIDS vaccine as well.

Overall, while the role of the private sector has been limited in practice, the government could have envisaged a much greater participation from the private players. This is especially true in the NACP supported technologies of ART and VCT, which have significant presence in the private sector, unlike Hep B and NSV. Role of NGO/Civil Society NGOs have played a significant role in both VCT and ART, by forming linkages with government facilities. This is not surprising, given the nature of the HIV/AIDS epidemic.

Similarly, Namgyal (2003, 2005) looked into the impact of Hep B in Europe and also worldwide and concluded that including it in the UIP is the best way forward and financial sustainability is critical to ensure vaccine quality and good coverage. In 1992, the World Health Assembly recommended that all countries should introduce the Hep B vaccine by 1997 (WHA 1992). While over 40 million people in India are affected by Hep B, one in every 25 persons in the country is an HBV carrier. WHO classifies India as an intermediate category of country with a prevalence rate of 2–7 per cent.

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