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Govindaraj, Ramesh

Global Practice on Health, Nutrition and Population, The World Bank
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Health policy and economics, Public health, Pharmaceuticals, Ophthalmology, Medicine
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Global Practice on Health, Nutrition and Population, The World Bank
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Last updated: January 31, 2023
Biography
Ramesh Govindaraj is a Lead Specialist in the Health, Nutrition and Population Global Practice of the World Bank. He has almost 30 years of development experience, working in diverse settings, including as a practicing physician in India, in an international NGO based in California, in the research-based pharmaceutical industry in New Jersey, and as a senior researcher at Harvard University. Ramesh has published widely in peer reviewed pharmaceuticals, health and development journals and edited volumes, and holds adjunct appointments at leading universities in the United States. Ramesh holds an MD in Ophthalmology from the University of Delhi and an M.S. in Health Policy and Management and a D.Sc. in International Health Economics and Policy from Harvard University.
Citations 24 Scopus

Publication Search Results

Now showing 1 - 1 of 1
  • Publication
    Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models
    (World Bank, Washington, DC, 2014-06) Das, Ashis; Friedman, Jed; Kandpal, Eeshani; Ramana, GNV; Das Gupta, R K; Pradhan, Madan M; Govindaraj, Ramesh
    Malaria continues to be a prominent global public health challenge, in part because of the slow population adoption of recommended preventive and curative behaviors. This paper tests the effectiveness of two service delivery models designed to promote recommended behaviors, including prompt treatment seeking for febrile illness, in Odisha India. The tested modules include supportive supervision of community health workers and community mobilization promoting appropriate health seeking. Program effects were identified through a randomized cluster trial comprising 120 villages from two purposively chosen malaria-endemic districts. Significant improvements were measured in the reported utilization of bed nets in both intervention arms vis-à-vis the control. Although overall rates of treatment seeking were equal across the study arms, treatment seeking from community health workers was higher in both intervention arms and care seeking from trained providers also increased with a substitution away from untrained providers. Further, fever cases in both treatments were more likely to have received timely medical treatment (within 24 hours) from a skilled provider. The study arm with supportive supervision was particularly effective in shifting care seeking to community health workers and ensuring prompt diagnosis and treatment. A community-based intervention combining the supportive supervision of community health workers with intensive community mobilization can be effective in shifting care seeking and increasing preventive behavior, and thus may be used to strengthen the national malaria control program.