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Free Medical Care to the Poor
Charitable Trust Hospitals get various benefits from the government such as land, electricity at subsidised rates, concessions on import duty and income tax, in return for which they are expected to provide free treatment to a certain number of indigent patients. In 2005, a scheme was instituted by the high court formalising that 20 per cent beds set aside for free and concessional treatment at these hospitals. In Mumbai, these hospitals have a combined capacity of more than 1600 beds. However, it has been brought to light both by the government and the media that these hospitals routinely flout their legal obligations. Considering that charitable hospitals are key resources for provisioning...
Punishing the Poor? A Look at Evidence and Action Regarding User Fees in Health Care
“There’s now just overwhelming evidence that those user fees actually worsened health outcomes. There’s no question about it. So did the bank get it wrong before? Yeah. I think the bank was ideological” - Dr Jim Yong Kim, World Bank Head. (2014) User fees for health care were put forward as a way to recover costs and discourage the excessive use of health services and the over- consumption of care. This did not happen. Instead, user fees punished the poor. -Dr. Margaret Chan, Director-General, WHO. (2009) The history of user fees imposed on the poor is a history of the poor being excluded from basic services. – Jeffrey Sachs, Director, Earth Institute, End of Poverty (2005) Pricing helps reduce excessive or unwarranted demand for a service and brings supply capacity more in line with willingness and ability to pay. Put differently, when a service costs money, people will think twice about demanding it. - World Bank, Financing health care in sub-Saharan Africa through user fees and insurance. (1995)
Transforming India's Approach to Cancer Care
In India, a country with a vast population and a diverse socio-economic fabric, healthcare remains fraught with challenges including disparities in access. These socio-economic disparities are deep, and they influence health outcomes. It is imperative to bridge these gaps amid the ongoing epidemiological, nutritional and demographic transitions that are bringing about massive challenges in healthcare. Cancer, for example, has emerged as a significant cause of mortality across the country. The impact of cancer in India transcends health and affects the economic and social spheres of people’s lives. A key aspect of this challenge is the financial burden borne by families dealing with the illness: According to the latest available data from 2018, out-of-pocket (OOP) expenditure accounts for over 50 percent of total health spending.[1] This financial burden is exacerbated by inequities in access to and the affordability of cancer treatment.
Maharashtra Human Development Report 2012: TOWARDS INCLUSIVE HUMAN DEVELOPMENT
The present Maharashtra Human Development Report (MHDR) 2012 keeps the spirit of the Eleventh and Twelfth Five Year Plans of ‘faster, sustainable and more inclusive growth’ at the core of its analysis. MHDR 2002 was the state’s first effort in focusing on the prevailing human development scenario in the spheres of growth, poverty, equity, education, health and nutrition. Since then the state has come a long way in the last decade, achieving near-complete enrolments at the primary school level, a wide coverage of health infrastructure and initiation of new incentives, to name a few. The 2012 Report goes beyond being just a situation-analysis of the current human development scenario to ...
Women, Health and Public Services in India
Why are inter-state differences in human development in India so high? What explains regional patterns where overall the southern region has some of the best human development outcomes in the country while the states in the northern ‘heartland’ have the worst? In addressing these important questions, this volume provides a detailed analysis of health outcomes in India, especially its effects on women. It offers insights into how multiple factors affecting human development, in particular health, play out differently in various socio-cultural and economic contexts. This book will interest scholars and researchers of sociology, development studies, gender studies, economics, public policy as well as general readers.
Tracking SDG targets on health and nutrition: Challenges and opportunities for streamlining surveys
The achievement of global sustainable development goals (SDGs) depends largely on India’s progress, given the country’s massive size and its moderate historical success in key health and nutrition outcomes over the last several years. This further increases the relevance and need for effective monitoring of India’s performance, through timely and disaggregated data, which ensures systematic assessments and course-correction. As India will be depending mainly on surveys to supply target-related data in the medium run, this paper classifies existing health and nutrition indicators from the draft National Indicator Framework (NIF), in terms of data availability. By highlighting the gaps in available data, the authors make specific recommendations to streamline existing surveys to align them with the requirements of an NIF for the SDGs. The authors review the draft NIF released by the Ministry of Statistics and Programme Implementation (MoSPI), and propose a revised one as part of this exercise.
Faith-Based Health Justice
In Faith-Based Health Justice, a stellar assembly of scholars mines critical insights into the promotion of health justice across Christian and Islamic faith traditions and beyond. Contributors to the volume consider what health justice might mean today, if developed in accordance with faith traditions whose commandment to care for the poor, ill, and marginalized lies at the core of their theology. And what kind of transformation of both faith traditions and public policies would be needed in the face of the health justice challenges in our turbulent time? Contributors to the volume come from a wide range of backgrounds, and the result will be of interest to scholars and students in social ethics, development studies, global theology, interreligious studies, and global health as well as experts, practitioners, and policy-makers in health and development work.
Creating awareness to improve maternal health in Jharkhand
'Improving Maternal Health in India’, an Oxfam–DFID project, was implemented in 420 villages across 6 States from 2012. It sought to improve maternal health status by building the capacity of communities to demand, access and monitor public health services. This document reviews the programme in Jharkhand where the CSO CINI is using an integrated approach to improve nutrition and maternal health.
