This study attempts to understand local people’s perceptions of climate change, its impacts on agriculture and household food security, and local adaptation strategies in the Hindu-Kush Himalayan (HKH) region, using data from 8083 households (HHs) from four river sub-basins (SBs), i.e. Upper Indus (Pakistan), Eastern Brahmaputra (India), Koshi (Nepal) and Salween and Mekong (China). The majority of households in SBs, in recent years, have perceived that there have been more frequent incidences of floods, landslides, droughts, livestock diseases and crop pests, and have attributed these to climate change. These changes have led to low agricultural production and income, particularly in Eastern Brahmaputra (EB) where a substantial proportion of HHs reported a decline in the production of almost all staple and cash crops, resulting in very low farm income. Consequently, households’ dependency on external food items supplied from plain areas has increased, particularly in the Upper Indus (UI) and EB. After hazards, households face transitory food insecurity owing to damage to their local food systems and livelihood sources, and constrained food supply from other areas. To cope with these, HHs in SBs make changes in their farming practices and livestock management. In EB, 11 % of HHs took on new off-farm activities within the SB and in SM, 23 % of HHs chose out-migration as an adaptation strategy. Lastly, the study proposes policy instruments for attaining sustainable food security, based on agro-ecological potential and opportunities for increasing agricultural resilience and diversity of livelihoods.

Data from the Indian National Family Health Survey, 2005–06 were used to explore how pregnancy intention at the time of conception influences a variety of maternal and child health and health care outcomes. Results indicate that mistimed children are more likely than wanted children to be delivered without a skilled attendant present (OR = 1.3), to not receive all recommended vaccinations (OR = 1.4), and to die during the neonatal and postneonatal periods (OR = 1.8 and 2.6, respectively). Unwanted children are more likely than wanted children to not receive all recommended vaccinations (OR = 2.2), to be stunted (OR = 1.3), and to die during the neonatal, postneonatal, and early childhood periods (OR = 2.2, 3.6, and 5.9, respectively). Given the high levels of unintended fertility in India (21 per cent of all births), these are striking findings that underscore the importance of investments in family planning.

Research in India has extensively examined the factors associated with non-adherence to antiretroviral therapy (ART) with limited focus on examining the relationship between adherence to ART regimen and survival status of HIV infected patients. This study examines the effect of optimal adherence to ART on survival status of HIV infected patients attending ART centers in Jharkhand, India. Data from a cohort of 239 HIV infected individuals who were initiated ART in 2007 were compiled from medical records retrospectively for 36 months. Socio-demographic characteristics, CD4 T cell count, presence of opportunistic infections at the time of ART initiation and ART regimen intake and survival status was collected periodically. Optimal adherence was assessed using pill count methods; patients who took <95% of the specified regimens were identified as non-adherent. Cox-proportional hazard model was used to determine the relative hazards of mortality. More than three-fourths of the patients were male, on an average 34 year old and median CD4 T cell count was 118 cells/cmm at the time of ART registration. About 57% of the patients registered for ART were found to be adherent to ART. A total of 104 patients died in 358.5 patient-years of observation resulting in a mortality rate of 29 per 100 patient-years (95% confidence interval (CI): 23.9–35.2) and median survival time of 6.5 months (CI: 2.7–10.9). The mortality rate was higher among patients who were non-adherent to ART (64.5, CI: 50.5–82.4) than who were adherent (15.4, CI: 11.3–21.0). The risk of mortality was fourfold higher among individuals who were non-adherent to ART than who were adherent (Adjusted hazard ratio: 3.9, CI: 2.6–6.0). Adherence to ART is associated with a higher chance of survival of HIV infected patients, ascertaining the need for interventions to improve the ART adherence and early initiation of ART.

Violence and mobility have been identified as critical factors contributing to the spread of HIV worldwide. This study aimed to assess the independent and combined associations of mobility and violence with sexual risk behaviors and HIV, STI prevalence among female sex workers (FSWs) in India.