Ongoing Research

Ongoing

Youth in transition Marathi

युथ इन ट्रान्झिशन

शहरी भागात राहणार्‍या अविवाहित तरूण मुला-मुलींमध्ये, लैंगिक आरोग्यासंदर्भातील असणारे प्रश्न जाणून घेण्यासाठी प्रयासतर्फे एक संशोधन अभ्यास हाती घेण्यात आला आहे.

अभ्यासाचा उद्देश:

प्रेम, नातेसंबंध, लैंगिकता या सर्व वैयक्तिक गोष्टी आहेत आणि आपल्या सर्वांना अतिशय जवळीकीच्या वाटणाऱ्याही! या संदर्भातल्या आवडीनिवडी, कल, भावना, निर्णय हे प्रत्येकाचे वेगवेगळे असू शकतात. कोणी नात्यांमध्ये असायचं ठरवतं, तर कुणाला ते नको असतं. कोणी बांधिलकी मानतं, तर कोणाला ती अमान्य असते. आपले हे निर्णय काळानुसार बदलूही शकतात. कधी सामाजिक परिस्थितीच्या दबावामुळे, तर कधी स्वतःच्या विचार व मतांमुळे. आताच्या काळात तर नवनवीन तंत्रज्ञान, संपर्काची साधनं आणि जगण्याचे बदलते निकष यांचाही यावर प्रभाव पडतो आहे. हा एकूणच विषय प्रत्येकासाठीच खूप महत्वाचा, आपुलकीचा असतो. पण तरीही याविषयी उघडपणे बोलणं होत नाही. विशेषतः याच्याशी जोडलेल्या शारीरिक किंवा मानसिक आरोग्याच्या प्रश्नांविषयी, गरजांविषयी तर फारच कमी बोललं जातं आणि समजून घेतलं जातं. अविवाहित तरूण मुलामुलींसाठी तर या विषयांवर बोलण्यासाठी तशी मोकळीकच नसते. पण ते गरजेचं मात्र आहे. प्रेम, नातेसंबंध आणि लैंगिकता या सगळ्याचा विचार करता आजच्या तरुणाईच्या काय गरजा आहेत व त्या पूर्ण करण्यासाठी काय करता येईल हे समजून घेणं हा या अभ्यासाचा उद्देश आहे. पण त्यासाठी हे समजून घेणं गरजेचं आहे की हे नातेसंबंध सुरू कसे होतात, त्यांच पुढे काय होतं, त्यातून काही जोखमी आहेत का आणि ह्या जोखमी टाळता याव्यात यासाठी ही तरूण मुल-मुली तयार आहेत का? तसेच शिक्षण, करियर, स्थलांतर, मानसिक आरोग्य, व्यसन, इत्यादी गोष्टींचा याच्याशी काही संबंध आहे का हेही आम्हांला समजून घ्यायचे आहे.

हा अभ्यास कसा केला जाणार आहे?

अभ्यासात भाग घेण्यास उत्सुक व पात्र असलेल्या व्यक्तींची मुलाखत घेण्यात येईल. ही मुलाखत साधारण दीड ते दोन तास चालेल. मुलाखतीत तुम्हाला तुमचे शिक्षण, लहानपणीचे अनुभव, करियर, कोणत्याही कारणासाठी झालेल्या स्थलांतराबद्दल तसेच मैत्री, रिलेशनशिप्स, मानसिक  आरोग्य, व्यसन, इत्यादी संदर्भात प्रश्न विचारले जातील. मुलाखतीत भाग घ्यायचा किंवा नाही हा निर्णय पूर्णपणाने तुमचा असेल. अभ्यासादरम्यान घेतलेली तुमची सर्व माहिती पूर्णपणे गोपनीय आणि सुरक्षित ठेवली जाईल व तुमचे नाव तुम्ही दिलेल्या माहितीशी कधीही जोडले जाणार नाही. सहभागींना त्यांच्या जाण्यायेण्याचा खर्चही दिला जाईल.

 ह्या अभ्यासात कोण सहभागी होऊ शकते?

  • अविवाहित
  • २०-२९ वयोगटातील  
  • किमान मागच्या ६ महिन्यांपासून पुण्यात राहणारी
  • किमान १२ वी किंवा १० वी नंतर किमान २ वर्षाचा डिप्लोमा पर्यंत शिक्षण पूर्ण झालेली

अशी व्यक्ती अभ्यासात सहभाग घेऊ शकते.

संपर्क

तुम्हाला अभ्यासात सहभाग घ्यायची इच्छा असेल किंवा अधिक माहिती हवी असेल तर या लिंक वर जा व तुम्हाला कसा संपर्क करावा त्यासाठीची माहिती भरा किंवा आम्हाला ७७७५००४३५०/०२०-२५४४१२३०/२५४२०३३७ या नंबर वर फोन करा किंवा This email address is being protected from spambots. You need JavaScript enabled to view it.  वर मेल करा.

जरी तुम्ही या अभ्यासात भाग घेऊ शकला नाहीत तरी तुम्ही तुमच्या मित्रांना किंवा इतर तरूणांना या अभ्यासात भाग घेण्यासाठी पाठवू शकता.

Youth in Transition

Title:          

Youth in Transition (YIT): A life course study of trajectories of safer sex behaviours in young unmarried youth from urban area in Pune, Maharashtra.

What was this research about?

Love, relationships and sexuality are an integral part of an individual’s existence. Some people choose to get into relationships, fall in love, some people choose not to. We live in a diverse society, with people of all genders, sexual inclinations and preferences, a matter of one’s personal choice. To be able to exercise choices is very pleasant, albeit with certain health risks involved with some of them. And yet, we talk so little about these choices, especially from a health needs’ point of view. For young unmarried people it is even more difficult to find appropriate space to talk about these issues. In order to design appropriate intervention to address sexual health needs of young people it is first important to understand how the relationships or sexual behaviors evolve from adolescence to adulthood among unmarried youth? Are there any health risks? Whether the youth has abilities to deal with the risks?

On this backdrop, in this study, we tried to understand how the relationships of unmarried youth start and progress. We also wanted to understand whether these transitions have any relation with person’s education, career, migration, psychological health status, addictions etc.

This study is a life course research conducted among never married young adults living in Pune to understand how relationships and sexual behaviors evolve over a period as young people navigate through different social roles from adolescence to adulthood.

A one-time personal interview of up to 1.5 to 2 hours in duration was conducted with the person eligible and willing to participate in the study. The interview was conducted with utmost sensitivity and complete confidentiality. During the interview, participant was asked to recall information about significant events in their life pertaining to their education, careers, migration, relationships, substance use, mental health, etc.

Youth In transition Report

This Report contains the findings of YIT research study. 

The compiled report: This contains one chapter on methodology of the YIT study and 6 chapters on 6 research briefs focusing on specific thematic issues.

Research brief 1: Relationship patterns and dynamics among unmarried youth

Research brief 2: Sexual Health Risks among Unmarried Youth

Research brief 3: Contraceptive Use and Unwanted Pregnancies among Unmarried Youth

Research brief 4: Abuse in Non-Marital Relationships

Research brief 5: Experiences and Impact of Childhood Sexual Abuse among Unmarried Youth

Research brief 6: Sexuality and Mental Health Issues among Unmarried Youths

 

Project UNITE

Project UNITE

About the research - This is a randomized, controlled, open‐label, multicenter trial to evaluate the effect of access to TAMA (Treatment Advice by Mobile Alerts; an IT system with a cell phone interface) on treatment effectiveness in HIV‐1 infected individuals initiated on first-line antiretroviral therapy

Objectives –

Primary objective:

  • To demonstrate superiority in efficacy of a first‐line NNRTI‐based regimen in the group having access to TAMA versus the control group receiving SoC, as measured by the proportion of  treatment‐naïve HIV‐1 infected subjects with plasma viral load < 50 HIV‐1 RNA copies/mL at Week 48.

Secondary objectives:

  • To determine and compare the adherence (for all subjects: subject‐reported adherence via the M‐MASRI questionnaire , and in addition for subjects with access to TAMA: subject‐reported adherence information via the IT system
  • To determine first virologic response defined as drop in viral load to < 400 HIV‐1 RNA copies/mL at Week 24 of ARV treatment
  • To determine final virologic response defined as < 400 HIV‐1 RNA copies/mL at Week 48 of ARV treatment
  • To compare the immunologic response (CD4+ cell counts) over 48 weeks
  • To evaluate and compare safety over 48 weeks
  • To assess and compare the loss to follow‐up (clinical appointments)
  • To evaluate patient satisfaction with the TAMA platform, via usability research

Type of research: Randomized controlled trial

Trial Duration: Screening period of 14 days and study period of 48 weeks

Study setting: This is a multi center study with sites from different locations in India.  Prayas Amrita Clinic, Pune with Deenanath Mangeshkar Hospital & Research Center (DMHRC) is one of the sites.

Study participants at Prayas: HIV infected men/women between the age of 18 - 65 years availing care at Prayas clinic or Deenanath Mangeshkar hospital

Site Principal Investigator : Dr. Vinay Kulkarni

Sponsor : Janssen Infectious Diseases – Diagnostics BVBA

Start date – November 2013 to May 2015

This trial was terminated early due to very slow recruitment rate than anticipated and due to very little chance to reach at the anticipated difference of 10% in response rate between TAMA and control arm if the study was continued as originally planned. So it was decided by the funders to early terminate the UNITE trial. 

Linking to Care (LTC)

Linking to Care (LTC): A study to identify the coverage, timeline, and impact of access to continued care in HIV-infected women enrolled in prevention of mother-to child transmission (PMTCT) program and their families.
About the research:
PRAYAS health group initiated a new research study to identify the coverage, timeline, and determinants of access to continued care in HIV-infected women enrolled in prevention of mother-to child transmission (PMTCT) program in India and their families. The study will investigate the association between socio-demographic, health related, and family related factors with access to continued HIV-related care.
  
Research questions:
1. Assessing the coverage, timing and barriers of access to care in HIV-infected women who have previously accessed PMTCT services.
a. What is the coverage of continued care and treatment on HIV-infected women who have previously accessed PMTCT services?
b. What is the timeline for linkage to continued care for HIV-infected women and compare it to that of their partners?
c. What are the potential barriers to accessing post-PMTCT care in HIV infected women?   
2. What are the determinants of current health status of the HIV-infected women and their families?
a. What are the various determinants of current health status of HIV-infected women who have previously accessed PMTCT services?
b. What are the various determinants of current health status of the children of HIV-infected women?
c. What are the growth patterns of children born to HIV-infected mothers?
d. What are the various determinants of current health status of partners of HIV-infected women?
Study setting: The Prayas PMTCT program.
Study participant: All women who have received services under the PRAYAS PMTCT project.
Type of research: A panel study of all consenting HIV-infected women who had previously been enrolled in the Prayas PMTCT program.
Study investigator: Ms. Mayuri Panditrao, PhD Candidate, University of Berkley, USA
Coordinator at Prayas:  Ms.Vijaya Jori
Supervisor (Local): Dr. Sanjeevani Kulkarni
Financial Support: Prayas Health Group and Fellowship of Ms. Mayuri Panditrao
Period: June 2011 to June 2012

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Prayas-Amrita Clinic, Athawale Corner, Karve Road, Deccan Gymkhana, Pune - 411 004, Maharashtra, India.
Tel.: 8605882649 / 8087015726  E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.