3 Professional Year MBBS Student, Department of Community Medicine, GMERS Medical College, Vadodara, Gujarat, India.
Associate Professor, Department of Community Medicine, GMERS Medical College, Vadodara, Gujarat, India.
Indian J Public Health. 2023 Jan 1;67(Suppl 1):S4-S9. doi: 10.4103/ijph.ijph_676_23. Epub 2024 Jan 31.
Analysis of discourse on diabetes mellitus in Lok Sabha and Rajya Sabha could give insight on the priority attention of policy-makers.
Our aim was to elicit trends in discourse on diabetes mellitus in the Indian Parliament that could have shaped and/or resulted from policy and programmatic action over the past two decades, by thematically analyzing the content of Indian parliamentary questions posed to the Ministry of Health and Family Welfare (MOHFW), Government of India on diabetes mellitus during 1999-2019.
This descriptive study sourced the records of Parliamentary questions from the websites of Lok Sabha and Rajya Sabha during the period of 13th to 16th Lok Sabha (November 1999 to February 2019). Using the keyword, "Diabet," we sampled relevant questions posed to/by MOHFW in this study including their text and other relevant information and used a combination of content as well as thematic analyses approaches to synthesize and interpret the results.
We derived a total of 232 question bundles featuring 930 questions. The frequency of questions on diabetes saw an increasing trend over the two decades. Four themes emerged: epidemiology and surveillance, population health programs, policy initiatives, and Research and Development (R and D). Questions posed in the latter years were more specific and solution-oriented unlike the initial years when these were rather broad-based and problem enumerative in nature. Within these themes, parliamentarians focused on the diabetes burden in the community, need for raising awareness, expanding testing facilities, strengthening drug regulation, and improving treatment affordability. There were fewer questions in R and D, rehabilitation, and integration of services themes.
Trends in the questions posed in both the Houses of the Indian Parliament indicate India's increasing attention to diabetes mellitus in its legislative discourse. However, the number of questions on diabetes taken up in the Parliament is too low to infer on consistent trends in their impact on programmatic and policy action.
分析人民院和联邦院有关糖尿病的讨论内容，可以深入了解政策制定者的优先关注事项。
本研究旨在通过对印度议会向印度卫生部和家庭福利部（MOHFW）提出的与糖尿病相关问题进行主题分析，了解过去 20 年来政策和规划行动对印度议会有关糖尿病讨论内容的影响。
本描述性研究从第 13 届至第 16 届人民院（1999 年 11 月至 2019 年 2 月）期间的人民院和联邦院网站上获取议会问题记录。使用关键词“糖尿病”，我们对本研究中向/由 MOHFW 提出的相关问题进行了抽样，包括问题文本和其他相关信息，并使用内容分析和主题分析方法相结合的方法来综合和解释结果。
我们共提取了 232 个问题包，包含 930 个问题。过去 20 年来，有关糖尿病的问题呈现出增加的趋势。出现了 4 个主题：流行病学和监测、人口健康计划、政策倡议和研究与开发（R&D）。与最初几年以问题列举为主的情况不同，近年来提出的问题更加具体和有针对性。在这些主题中，议员们关注社区的糖尿病负担、提高认识的必要性、扩大检测设施、加强药品监管以及提高治疗的可负担性。R&D、康复和服务整合主题的问题较少。
印度议会两院提出的问题趋势表明，印度在立法讨论中对糖尿病的关注度不断提高。然而，在议会中提出的有关糖尿病的问题数量太少，无法推断其对规划和政策行动的影响是否持续。
