Rural India Research Articles

Sensing volatiles throughout the body: geographic- and tissue-specific olfactory receptor expression in the fig wasp.

An essential adaptive strategy in insects is the evolution of olfactory receptors (ORs) to recognize important volatile environmental chemical cues. Our model species, Ceratosolen fusciceps, a specialist wasp pollinator of Ficus racemosa, likely possesses an OR repertoire that allows it to distinguish fig-specific volatiles in highly variable environments. Using a newly assembled genome-guided transcriptome, we annotated 63 ORs in the species and reconstructed the phylogeny of Ceratosolen ORs in conjunction with other hymenopteran species. Expression analysis showed that though ORs were mainly expressed in the female antennae, 20% were also expressed in nonantennal tissues such as the head, thorax, abdomen, legs, wings, and ovipositor. Specific upregulated expression was observed in OR30C in the head and OR60C in the wings. We identified OR expression from all major body parts of female C. fusciceps, suggesting novel roles of ORs throughout the body. Further examination of the OR expression of C. fusciceps in widely separated geographical locations, that is, South (urban) and Northeast (rural) India, revealed distinct OR expression levels in different locations. This discrepancy likely parallels the observed variation in fig volatiles between these regions and provides new insights into the evolution of insect ORs and their expression across geographical locations and tissues.

Pioneering Community-Based Healthcare in Rural India: The Legacy of Dr. Rajnikant Arole and Dr. Mabelle Arole

Pioneering Community-Based Healthcare in Rural India: The Legacy of Dr. Rajnikant Arole and Dr. Mabelle Arole

Protocol of the Nutritional, Psychosocial, and Environmental Determinants of Neurodevelopment and Child Mental Health (COINCIDE) study

Background Over 250 million children are developing sub-optimally due to their exposure to early life adversities. While previous studies have examined the independent effects of nutritional status, psychosocial adversities, and environmental pollutants on children’s outcomes, little is known about their interaction and cumulative effects. Objectives This study aims to investigate the independent, interaction, and cumulative effects of nutritional, psychosocial, and environmental factors on children’s cognitive development and mental health in urban and rural India. It also seeks to explain pathways leading to inequities in child development outcomes at the individual, household, and neighbourhood levels. Methods A mixed-methods prospective cohort study will be conducted on 1600 caregiver-child dyads (child age 3–9 years) in urban and rural India. Nutritional status, psychosocial adversities, environmental pollutants, and child mental health outcomes will be assessed using parent-report questionnaires. Performance-based measures will be used to assess cognitive outcomes. Venous blood and urine samples will be used to measure nutritional and pesticide biomarkers in 500 children. Indoor air pollution will be monitored in 200 households twice, during two seasons. Multilevel regression, weighted quantile sum regression, and Bayesian kernel machine regression will assess the individual and combined effects of exposures on child outcomes. Thematic analysis of in-depth interviews and focus group discussions will explore pathways to early childhood development inequities. Discussion The data will be used to formulate a Theory of Change (ToC) to explain the biological, psychosocial, and environmental origins of children’s cognitive and mental health outcomes across the first decade of life in diverse Indian settings, which will then inform context-specific intervention targets for promoting children’s outcomes beyond the first 1000 days, potentially generalizable to similar under-resourced global settings. The COINCIDE research infrastructure will comprise a valuable global health resource, including prospective cohort data, validated study tools, and stored biological and environmental samples for future studies.

Barriers to Cancer Diagnosis and Treatment: A Pilot Qualitative Study of Patient and Practitioner Perspectives in Rural India

Barriers to Cancer Diagnosis and Treatment: A Pilot Qualitative Study of Patient and Practitioner Perspectives in Rural India

Listening to caregivers’ voices about the experience of integrating music therapy-informed activity in community-based rehabilitation in rural India

ABSTRACT Background This project is part of a four-year intercultural collaboration between Indian and Australian stakeholders studying to use of music therapy (MT)-informed activity in community-based rehabilitation (CBR) with disabled children and their families in rural Maharashtra. This paper presents a qualitative study of caregiver perspectives. Methods Interviews with four participating caregivers were thematically analysed, with an emphasis on participant voices. The combined thematic analysis of the four interviews revealed shared five themes. Results Data analysis revealed caregivers’ perception that music in CBR supported existing CBR goals. Furthermore, caregivers reported that music in CBR enhanced motivation and participation for children and families and fostered community connection. Importantly, caregivers noted that music made CBR fun and was a pre-existing resource. Conclusions Findings were congruent with research with other stakeholders in the intercultural collaboration. Caregiver perspectives offer new insight into the priorities of families in CBR, which has wider relevance arts and health workers in community-based practice.

Mental Health Care Support in Rural India

More than 150 million people in India need mental health care but few have access to affordable care, especially in rural areas. To determine whether a multifaceted intervention involving a digital health care model along with a community-based antistigma campaign leads to reduced depression risk and lower mental health-related stigma among adults residing in rural India. This parallel, cluster randomized, usual care-controlled trial was conducted from September 2020 to December 2021 with blinded follow-up assessments at 3, 6, and 12 months at 44 rural primary health centers across 3 districts in Haryana and Andhra Pradesh states in India. Adults aged 18 years and older at high risk of depression or self-harm defined by either a Patient Health Questionnaire-9 item (PHQ-9) score of 10 or greater, a Generalized Anxiety Disorder-7 item (GAD-7) score of 10 or greater, or a score of 2 or greater on the self-harm/suicide risk question on the PHQ-9. A second cohort of adults not at high risk were selected randomly from the remaining screened population. Data were cleaned and analyzed from April 2022 to February 2023. The 12-month intervention included a community-based antistigma campaign involving all participants and a digital mental health intervention involving only participants at high risk. Primary health care workers were trained to identify and manage participants at high risk using the Mental Health Gap Action Programme guidelines from the World Health Organization. The 2 coprimary outcomes assessed at 12 months were mean PHQ-9 scores in the high-risk cohort and mean behavior scores in the combined high-risk and non-high-risk cohorts using the Mental Health Knowledge, Attitude, and Behavior scale. Altogether, 9928 participants were recruited (3365 at high risk and 6563 not at high risk; 5638 [57%] female and 4290 [43%] male; mean [SD] age, 43 [16] years) with 9057 (91.2%) followed up at 12 months. Mean PHQ-9 scores at 12 months for the high-risk cohort were lower in the intervention vs control groups (2.77 vs 4.48; mean difference, -1.71; 95% CI, -2.53 to -0.89; P < .001). The remission rate in the high-risk cohort (PHQ-9 and GAD-7 scores <5 and no risk of self-harm) was higher in the intervention vs control group (74.7% vs 50.6%; odds ratio [OR], 2.88; 95% CI, 1.53 to 5.42; P = .001). Across both cohorts, there was no difference in 12-month behavior scores in the intervention vs control group (17.39 vs 17.74; mean difference, -0.35; 95% CI, -1.11 to 0.41; P = .36). A multifaceted intervention was effective in reducing depression risk but did not improve intended help-seeking behaviors for mental illness. Clinical Trial Registry India: CTRI/2018/08/015355.

Transitioning towards sustainable agriculture: analysing the factors and impact of adopting multiple sustainable inputs by paddy farmers in India

IntroductionThere is a global priority to ensure food security, environmental conservation and sustainability. The adoption of inputs such as organic manures, biofertilisers, and biopesticides has been widely promoted as a way to enhance agricultural sustainability, yet their adoption rates remain notably low. The study examines the determinants and impact of the adoption of multiple sustainable inputs by paddy farmers in India. The study also examines the drivers behind the intensity of their adoption and their technical efficiency.MethodsThe study utilises the survey dataset on paddy farmers from “Situation Assessment of Agricultural Households and Land and Livestock Holdings of Households in Rural India” of the 77th National Sample Survey (NSSO) round. The reference period for data collection was the agricultural year from July 2018 to June 2019. The analytical methods employed include the Multivariate Probit and Ordered Probit models, Seemingly Unrelated Regression, Regression Adjustment model, and Stochastic Frontier method.ResultsThe empirical findings reveal that the adoption and intensity of sustainable inputs depend significantly on factors such as the household head’s age and education, household size, and access to extension services. Adopting sustainable inputs has significant benefits, such as increased harvest value. However, the currently available technical advisory services are limited in effectively promoting the expenditure on sustainable inputs. Technical efficiency analysis underscores the potential for improvement and the importance of utilising optimal input levels. The research findings provide strong evidence in favour of advocating for the use of sustainable inputs in paddy farming.

Politicians, institutional incentives, and citizen welfare: evidence from a lab-in-the-field experiment in India

Abstract We examine how politicians and non-politicians in rural India respond to behavioural incentives. Using a modified dictator game, we vary treatments (and incentives) across the nature of interactions, the visibility of actions, and an upfront promise. Under anonymity, politicians and non-politicians behave selfishly: both become significantly more generous when interactions are personalized. However, while non-politicians respond to greater visibility more strongly than politicians, an upfront promise induces more pronounced politician responses. Whereas promise-breaking appears to be more costly for politicians, visibility, via social image concerns, appears to matter more for non-politicians. This mix of similarity and heterogeneity in response suggests that evidence about the behaviour of real-world politicians is more important for effective policy design than acknowledged so far.

Effect of spiritual intelligence and employment status on the association between education and depressive symptoms among adults in rural Puducherry, India: A mediation analysis.

Depression is a major global health concern, particularly in India, where it significantly impacts the population's well-being. The interplay of various factors, including education, employment status, and spiritual intelligence, contributes to the complex landscape of depressive symptoms among adults. A community-based cross-sectional study was conducted in the rural service areas of a tertiary care medical institution in rural India from March 2021 to September 2022. The study employed structured questionnaires and validated scales to assess depressive symptoms, spiritual intelligence, educational status, and occupational status among participants. Structural equation modelling was used for mediation analysis to evaluate the effect of spiritual intelligence and employment status on the association between education and depressive symptoms. The study included 381 participants, with a prevalence of depressive symptoms at 14.4%. Higher educational attainment was associated with lower odds of depressive symptoms (aOR = 0.34, 95% CI [0.17, 0.67]). Employment status mediated the relationship between education and depression, with employed individuals exhibiting lower odds of depressive symptoms (aOR = 0.42, 95% CI [0.22, 0.82]). While spiritual intelligence was higher among those with formal education, its direct impact on depression was not statistically significant. The mediation analysis revealed that a significant portion (77.5%) of the total effect of education on depression was mediated through employment status and spiritual intelligence. The study underscores the importance of education and employment opportunities in mitigating depressive symptoms among rural adults. It suggests targeted interventions that promote education and employment support to enhance mental health resilience. While spiritual intelligence may influence mental health outcomes, its exact role requires further investigation.

Inclusive Democracy Through the 73rd Amendment Act: An Empirical Evaluation of Scheduled Castes in Majha Region of Punjab

The concept of inclusive democracy has gained special attention in the past few decades, as it is a prerequisite for transparent and participatory governance. Also, it promotes decentralization with the open participation of the citizens. In order to attain inclusive governance with a transparent and efficient system, the 73rd Amendment Act has been providing opportunities to promote inclusive democracy in rural India in the form of panchayats since its inception. In Punjab, village democracies are also known as Gram Sabhas. The 73rd Amendment is meant for the inclusion of the marginals, especially the Scheduled Castes (SCs), Scheduled Tribes (STs) and women at the grassroot politics. This study examines the status of participation and representation of SCs at the Panchayati level in general and particularly in comparison to the General category (GC) representatives in the Majha region. Moreover, the study locates where the SCs stand against GCs in the process of decision-making at the Panchayati level. The opinions and observations of the study were based upon in-depth interviews of 408 representatives of panchayats, which show that 73rd Amendment increases awareness, consciousness and assertion among the SCs for their rights in the Panchayati Raj. It also leads to the emergence of grassroot leadership among them. Also, the study depicts the frontward representation of SC women in the panchayats. Similarly, the study reflects some regional issues and concerns predominant in the panchayats. Besides, suggestions and recommendations are also made to promote inclusiveness at the grassroots.

From Hesitancy to Acceptance: An Interpretative Approach to Unravel the Vaccination Motivation Among the Rural Population

ABSTRACT Our study focuses on vaccination decisions within a collectivistic framework, prioritizing social and behavioral factors over individualistic views amidst COVID-19. Integrating behavioral biases and social ties, we inform targeted public health communication strategies. Examining vaccine uptake in rural India, we use Interpretative Phenomenological Analysis (IPA) to interpret deviations, capturing personal experiences and biases. Through the COM-B model and 25 interviews, we uncover motivations influenced by individual, family, and community factors. Synthesizing findings, we propose tailored public health communication grounded in behavioral psychology. Rather than disregarding biases, we explore their implications for effective interventions. This research advances health communication, particularly benefiting lower-middle-income countries with non-pharmacological approaches.

There and back again: dynamics of temporary labor migration, insights from rural India.

Temporary labor migration is a household phenomenon among rural communities in India. This study seeks to understand the subjective experiences influencing the temporariness of labor migration among internal migrants in India by examining various factors such as migration conditions, motivation, migration arrangements, coping and adaptation strategies, and determinants of stay. To achieve this objective, the current qualitative study utilized 14 in-depth interviews and 2 focus group discussions to investigate the temporary nature of labor migration among internal migrants in India. Our findings reveal that migration decisions are rational choices made collectively at the household level, considering socio-economic outcomes. We also find that social networks and contractors facilitate migration arrangements and job connections, and migrants employ various strategies to reduce costs and cope with expenses in urban areas. However, migration destinations often fail to meet migrants' expectations, exposing them to low-wage employment and precarious working and living conditions, which are detrimental to their health. Limited housing and sanitation facilities further contribute to the challenges faced by migrants. Work conditions, including poor wages and high job demands, also affect their well-being. These findings highlight the need for improved support systems that address accommodation challenges, work conditions, and the overall welfare of labor migrants.

Study of the Clinical Profiling and Assessment of Poisoning Cases in a Tertiary Care Hospital.

Introduction Accidental and intentional poisoning is a major cause of morbidity and mortality. Pesticide poisoning is particularly common in India, where a large percentage of the population works in agriculture. This study aims to evaluate admission profiles, management trends, and outcome status among poisoning cases in a tertiary care hospital. Methodology A prospective observational study was carried out from May to July 2022 in the medicine ward of a tertiary care hospital, which is associated with a government medical college. Demographic characteristics, history of poisoning, clinical presentation at the time of admission, and intervention for treatment were recorded once the patient was diagnosed with poisoning or when there was a suspicion. Data regarding outcomes was also collected from this section. The appropriateness of the decontamination, support, and specific treatments was assessed. The collected data was subjected to descriptive statistical analysis. Results The most common agent was pesticides, involved in 44 (43.56%) cases out of a total of 101 poisoning cases, with the predominant subtype being organophosphate. Bites accounted for 18 (17.82%) cases, mainly snake bites. Household products were responsible for eight (7.92%) cases, and medicinal products for four (3.96%) cases. Decontamination, when indicated, was properly applied in 98 (97.02%) cases; supportive treatments were administered in 95 (94.05%) cases; and specific detoxifying measures were taken in 59 (58.41%) cases. A majority of the patients (60, or 59.41%) reached the hospital within three hours of poisoning, which dramatically reduced morbidity and mortality. Conclusion In summary, the study indicates that pesticide poisoning is prevalent in rural India, and, as such, there is an urgent need for appropriate regulation of agrochemicals and behavioural education to protect farmers. On average, the appropriateness of decontamination and supportive treatments was high (i.e., >85%), reflecting adequate initial responses. In contrast, the low level of appropriateness for specific treatments highlights gaps regarding institutional medical protocols and training. There is a need to educate the public about timely medical intervention, which can help in decreasing the mortality and morbidity associated with cases of poisoning.

Improving children's foundational learning through community-school participation: Experimental evidence from rural India

Due to almost-universal enrolment in primary schools, policy focus has shifted towards improving learning outcomes. One important way of doing this is to enhance accountability, especially in the case of public provision of education. In this context, we examine the effectiveness of two different strategies of increasing accountability – one involving only the community, and the other which builds collaboration between the schools and the community. We implement a randomized controlled trial in 400 villages in India, and find: (i) both interventions led to a significant enhancement in children's foundational literacy and numeracy skills, (ii) we observed limited differences between the impacts of the two interventions, and (iii) the community-school intervention exhibited significantly greater effects when parents reported visiting the school, underscoring the vital role of parent-teacher interactions and their shared responsibility in shaping children's learning outcomes. In terms of mechanism, we find that direct learning inputs play a major role in mediating the observed effects of both interventions. Additionally, parent-teacher engagement and children's studying habits outside of the school are potential important channels through which the observed effects operate in the community-school intervention.

Desiri Naturals: sustainable agriculture and eco-friendly business

Learning outcomes After completion of the case study, the students will be able to critically analyze the business model of Desiri Naturals, analyze the pricing strategy of Desiri Naturals, examine the importance of experiential marketing in the success of an environment-friendly business, identify the challenges faced by new entrepreneurs and evaluate the sustainability practices of Desiri Naturals. Case overview/synopsis This case study discusses the business model of an environmentally friendly business. The challenges and obstacles faced by entrepreneurs are illustrated in this case. The entrepreneurs’ vision to provide chemical-free food is highlighted and their business operations as a means to fulfill this vision are explained. Desiri used an age-old bull-driven method of oil extraction (Ghana). Challenges in pricing due to the availability of low-priced mass-produced edible oil using the solvent extraction process are presented in this case. The entrepreneurs faced the pricing dilemma at the inception of the business, as oil produced using the natural cold pressing method cost three times the selling pricing of solvent-extracted oil. Innovative methods of experiential marketing such as Ghana tourism are explained in this case. This case study also explains the sustainable and natural farming techniques propagated through its network of farmers. This case study provides insights into the scalability of this model and the scope for employment generation in rural India. The environmentally friendly practices followed by Desiri, such as the use of glass bottles and reusable steel containers for packaging oil are emphasized. Finally, this case presents the marketing and operational challenges faced by entrepreneurs in their quest to expand their operations. Complexity academic level This case study can be used by postgraduate and undergraduate students studying marketing, entrepreneurship, sustainability and operations management courses in commerce and business management streams. Supplementary materials Teaching notes are available for educators only. Subject code CSS8: Marketing.

Financial Freedom, Social Capital, and the Development of Rural Women Entrepreneurship in India

Human resource development can only be achieved by promoting female entrepreneurship. There is a very low level of female entrepreneurship in India, especially in rural areas, which has recently been a cause for concern. Women are now aware of their existence, privileges, and employment circumstances.The subject of this research is female entrepreneurs in rural India, their contribution towards society, problems faced by women entrepreneurs in India, and initial steps taken by the administration for their development in India’s rural region. The research is explanatory. The primary data is used in the paper. The self-structured questionnaire was circulated to the women entrepreneurs in rural India. The data collected was analysed using a targeted sampling method in the Statistical Package for Social Sciences programme, followed by a study of the statistical results. During the survey, 44 respondents were interviewed. The results showed that among the most significant challenges were women’s family responsibilities, gender inequality, financial difficulties, low risk inclination and competition between men and women. It was concluded that the challenges faced by women entrepreneurs could be addressed through appropriate incentives, training, encouragement, social recognition of their entrepreneurial capabilities and appropriate family support.

Prevalence and factors associated with depression among the elderly in rural areas of central India: a mixed method study

Background: The global demographic shift towards an aging population has raised concerns about the mental health of the elderly, particularly in rural areas. This study sought to tackle this issue by quantitatively evaluating the prevalence of geriatric depression in rural areas of central India and qualitatively investigating the factors that contribute to late-life depression. Methods: This mixed-method study conducted in the rural areas of central India aimed to assess the prevalence of depression among the elderly and explore gender-specific factors contributing to late-life depression. Results: Quantitative data were collected from 308 elderly individuals aged 60 years and above, revealing a high prevalence of depressive symptoms (75.6%). Factors significantly associated with depression included female gender, age over 70 years, lower educational attainment, financial dependency, and comorbidities. Qualitative analysis through focus group discussions highlighted gender-specific perceptions of depression risk factors, emphasizing the need for tailored interventions. Conclusions: The findings underscore the urgent need for targeted mental health interventions addressing socio-economic disparities and gender-specific challenges in rural elderly populations. A nuanced, gender-sensitive approach is crucial for promoting well-being and reducing the burden of depression among the elderly in rural central India.

Problems and Challenges of Indian Rural Local Governments in Achieving Sustainable Development Goals: An Analysis of the Viable Perspectives

Problems and Challenges of Indian Rural Local Governments in Achieving Sustainable Development Goals: An Analysis of the Viable Perspectives

Usage and preservation of Mizo traditional medicine by the people of Chungtlang Village, Mamit District, Mizoram.

Diversity, flexibility, easy accessibility, broad continuing acceptance in developing countries and increasing popularity in developed countries, relative low cost, low levels of technological input, relative low side effects, and growing economic importance are some of the positive features of traditional medicine. In rural India, traditional medicine continues to be the only available form of care. Many communities continue to treat patients using their old methods, unaffected by contemporary medical advancements. Due to their accessibility, affordability, and ease of use, tribal tribes prefer to utilize and consult their own traditional healers. These are likewise thought to be highly effective and without any adverse effects. This paper aims to identify various traditional medicines used for treating illness and infirmities, by taking accounts from the residents of Chungtlang village, Mamit District, Mizoram. The objective here lies in discovering traditional knowledge of medicinal plants and their uses for various infirmities.

Development of AI-Driven Healthcare Systems in Rural India

Development of AI-Driven Healthcare Systems in Rural India