Health Systems


Project Description

India has embarked on an ambitious journey of eliminating Visceral Leishmaniasis (VL) from the country. This involves various measures to reduce the incidence of VL to less than 1 per 10,000 in every block in India for three consecutive years and sustaining it thereafter. Multi-levelled challenges and numerous constraints in the Indian health care system need to be addressed in a comprehensive and systemic way to ensure that India eliminates and maintains the elimination of VL. We use the dynamic health systems framework (van Olmen et al) to analyse the health system and make recommendations. A modified diagram of van Olmen et al's health systems framework is given to the right.

This project aims to:

  1. Document the best practices of states/countries that have achieved, or will soon achieve, in the elimination of VL.
  2. Analyze the strengths and weaknesses of the health system in the four endemic states, in managing VL at a population level.
  3. Recommend a Health System focussed way forward, so that it will be responsive to VL issues that will arise during the post-elimination phase.

Project Membership


Dr. N. Devadasan

Dr. Sunitha C Srinivas 

CARE India

Dr. Shrikantiah Shridhar

Dr. Indranath Bannerjee 


Dr. Amresh Kumar 

Dr. Abhilash Sharma


Dr. Niyamat Ali Siddiqui

Dr. Roshan Topno


Dr. Debashish Kundu 

Dr. Sarabjit S Chadha 

Technical Advisors

Prof. Marleen Boelaert, Institute of Tropical Medicine, Antwerp

Prof. Simon L Croft , London School of Hygiene and Tropical Medicine & Kalacore

Prof. Suman Rijal, Drugs for Neglected Diseases initiative 

Implementing partners

Institute of Public Health, Bengaluru (IPH)



Rajendra Memorial Research Institute of Medical Sciences (RMRI)

International Union Against Tuberculosis and Lung Disease (Union)