The book undertakes a critical examination of health service development in India and provides an explanation of its underdevelopment. It analyzes the trajectory of health services development in India and dissects the roles of various actors which shape that process viz. the State, civil society, and the people. It helps you to arrive at a less ambiguous analytical paradigm regarding a complex scenario discernible in a country like India where diversities across regions and states make it difficult to advance a pan Indian framework, strategy, or theory.
In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.
This book argues that despite the hype within many policy circles, there is actually very little evidence to support the presumed benefits of Public Private Partnerships (PPPs) in reducing poverty and addressing inequalities in the provision of and access to public services. Taking a cross-sectoral comparative approach, this book investigates how PPPs have played out in practice, and what the implications have been for inequalities. Drawing on a range of empirical case studies in education, healthcare, housing and water, the book picks apart the roles of PPPs as financing mechanisms in several international and national contexts and considers the similarities and differences between sectors. The global COVID-19 pandemic has raised significant questions about the future of social provision and through its analysis of the emergence and expansion of the role of PPPs, the book also makes a vital contribution to current discussion over this rapidly changing landscape. Overall, this wide-ranging guide to understanding and evaluating the role of PPPs in the Global South will be useful to researchers within development, international relations, economics, and related fields, as well as to policy makers and practitioners working in development-related policy.
The book critically examines the high growth trajectory in India, particularly since the late 1980s, a period which is characterized by increasing inequality. Through various studies from the Indian state of Uttar Pradesh -- a state more populous than Brazil and with a GDP comparable to Bangladesh -- it sheds light on the link between growth and inequality in emerging economies. The slow pace of any upward movement in terms of various development indicators in low-income Indian states is due to a number of factors, including their historical disadvantages. Over a period of time, this has resulted in widening disparities, both between different regions of these states, and between these states and other more prosperous Indian states. The book provides a holistic, yet critical, region-wise analysis of the achievements of Uttar Pradesh compared to other states and to India as a whole, in the context of indicators of inclusive development, namely, growth, employment, poverty, infrastructure, agriculture, industry, education and health. Based on the latest data and sophisticated analysis methods, it assesses inequality and development disparities, clearly identifying three major challenges that poorer states face in redressing poverty and expanding inclusive growth – increasing economic opportunities, empowering poor and marginalised groups to avail new opportunities in a rapidly changing world, and ensuring an effective safety net to reduce vulnerability. The book suggests strategies for promoting high and sustained economic growth, and highlights the significance of broadening social inclusiveness through greater and more rapid access to economic and social opportunities, and building strong social safety nets to protect the chronically poor and mitigate their risks and vulnerabilities with the help of good governance and institutions. With contributions from leading scholars from the region, it is a valuable resource for researchers working in the area of growth and inequality, as well as for policy makers from developing economies around the globe.
This book presents important fields of research in public healthcare in India from an interdisciplinary and health systems perspectives. Discussing how the exchange of power between the health justice triad, viz., the State (judiciary as the arm of the State), legal and medical professions, and civil society, cumulatively shapes the outcomes of health justice for citizens, it provides insights into India’s juridico-legal processes and of seeking justice in healthcare. It critically assesses civil society’s counter-hegemonic role in bolstering justice in health care and examines the potential of transforming health care jurisprudence into health justice. Repositioning the social right to healthcare as integral to social citizenship and social justice, and opening avenues for inter-professional and interdisciplinary power discourse in public health policy research, the book is of interest to academics, practitioners, students, researchers, and the wide academic community working in public health care issues broadly.
This edited volume draws on ten original contributions that locate ethics at the centre-stage of public health practice. The essays explicate ethical issues, challenges, deliberations and resolutions covering a broad canvas of public health practice including policies, programmes, research, training and advocacy. The contributors are academics and practitioners in varying roles and long-standing engagement with public health in diverse settings within India. Their expertise in disciplines range from anthropology, sociology, health communications, gender studies, economics, epidemiology, social work and medicine. Their chapters deal with dimensions of ethical dilemmas that can rarely be defined and contained within ethical guidelines and protocols alone. Instead, they throw light on the associated factors, value systems and contexts in which such complexities occur and require response or redressal. This volume aims to articulate the growing awareness among practitioners that public health ethics is not merely an advanced grouping of possible problems and solutions. It hopes to facilitate robust platforms for dialogue and debate on the subject through the lenses of these contributions. The book is conceptualized to reach broader audiences such as public health practitioners and researchers in several roles within Government health systems, NGOs/Grass root organizations/CSR initiatives/advocacy groups; as well as researchers in academic settings and facilitators involved in teaching ethics and imparting training for students and young practitioners of public health.
This book focuses on interdisciplinary issues of human health in the changing urban environments of India’s largest megacities—Delhi and Mumbai. The authors explore human health concerns related to increased temperatures and air pollution in these cities in a study based on primary data collected through interviews, as well as secondary data on causes of mortality from 2001 to 2012. During this period, the surface temperatures for both megacities were mapped using Landsat Images. The rapidly increasing populations of cities and urban centers alter ecosystem services such as water, air and land cover, with disastrous impacts on health and wellbeing, particularly in megacities. In 2015, polluted air was estimated to have been responsible for 6.4 million deaths worldwide, and it is projected that it will cause between 6 and 9 million deaths per year by 2060. In 2017, outdoor air pollution resulted in 1.2 million deaths in India and brought about a 3% loss in GDP. The increase in population, vehicles, and industries has led to changes in land use and land cover and a rise in city temperatures and air pollution, creating urban heat islands (UHIs). Together, UHIs and air pollution have damaging impacts on human health that range from stress and headache to asthma, bronchitis, and chronic diseases, and even to death. Delhi has been experiencing emergency conditions in terms of environmental health over the past two years. At the same time, both the Delhi and Mumbai urban agglomerations are growing at a rapid pace, and the United Nations has projected that they will be the second and third most populous cities in the world by 2025. In this context, the book offers significant insights into the past patterns and responses to the present global urban health emergencies, and explores sustainable means of combating the problem to enable college and university researchers to develop innovative solutions. Further. It presents trans-disciplinary research that cuts across the WHO Action Plan, the Sustainable Development Goals, the Sendai Framework for Disaster Risk Reduction, and Habitat III to help policymakers gain a better understanding of the global challenges of urban health and wellbeing. The book is especially useful for students and researchers in geography, urban demography, urban studies, environmental studies, health sciences, and policy studies.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This book provides a comprehensive overview of universal health coverage in India. It starts by setting the historical context and politics of the debates around universal health coverage (UHC) in India and proceeds to analyze the present crisis of public health in the country. The book examines the present policies on the pharmaceutical industry, missing links in universalizing health, and the importance of social determinants of health. It is divided into five sections, and some of the topics covered include the difference between comprehensive primary health care and universal health care, public health and medical care, health service, and health system. The chapters are contributed by scholars and practitioners based on historical, interdisciplinary, empirical, and policy research. The book is insightful to academics, public health administrators, policymakers, practitioners, and students interested in health care and organization, looking to transform theory into policy and practice.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
