The Social Determinants of Health in India

The Social Determinants of Health in India

Author: Devaki Nambiar

Publisher: Springer

Published: 2017-12-13

Total Pages: 236

ISBN-13: 9811059993

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Drawing from the work of academics and practitioners from ten states across the country, this edited volume showcases and synthesises the diversity and richness of efforts to understand and act on the social determinants of health in India, the conditions in which we are born, grow, live work and age. Such an effort is salient in the current era of Sustainable Development Goals (SDG), which have foregrounded the issue of equity and the need for a comprehensive, multi-sectoral agenda for health and development. In India, particularly in the last decade, there have been myriad efforts to more critically theorise and intervene in areas with bearing on health, like conflict, nutrition or urbanisation, or to address the concerns of vulnerable groups like women, children and the elderly. From these efforts emerge lessons of convergence for academic and policymaking institutions in India who are looking to operationalise and bring life to the SDG agenda in India and other Low and Middle Income Country settings. The book comprises eleven chapters and six short commentaries that appear in conversation with each other, as well as an annexure of validated, ready-to-use indicators for monitoring of social determinants of health.


Health Inequities in India

Health Inequities in India

Author: T.K. Sundari Ravindran

Publisher: Springer

Published: 2017-12-21

Total Pages: 255

ISBN-13: 9811050899

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This timely contribution to the global literature on health inequities approaches the subject through a synthesis and analysis of relevant published literature on India. Amongst the BRICS countries, India ranks the lowest in the gender-gap index and has the highest poverty rate, and there is clear evidence that socio-economic inequalities have increased in India in the twenty-first century. These have direct impact on the health conditions of its people; however, there has been relatively little concerted research attention on health inequities in India. This volume fills the gap by synthesizing research evidence since the year 2000 on the topic. This is perhaps the first volume on this topic of such scope and breadth. Its uniqueness lies in the synthesis of evidence across a range of axes of disadvantages within a single volume: socio-economic position, caste, gender, other socially constructed vulnerabilities such as disability, HIV status, migrant status; and health-system factors contributing to or mitigating inequities in health. Each core chapter not only summarizes research findings but also engages critically with the perspectives reflected in the chapters and proposes a framework for understanding the mechanisms through which health inequities result. This volume highlights and addresses research gaps in both methodology and content, and is valuable to researchers and students of public health and allied health disciplines, including the social sciences, and also to policy makers and donors.


Health Sector, State and Decentralised Institutions in India

Health Sector, State and Decentralised Institutions in India

Author: Shailender Kumar Hooda

Publisher: Routledge India

Published: 2022

Total Pages: 254

ISBN-13: 9781032108438

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"This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--


Reverse Innovation in Health Care

Reverse Innovation in Health Care

Author: Vijay Govindarajan

Publisher: Harvard Business Press

Published: 2018-06-19

Total Pages: 327

ISBN-13: 1633693678

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Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.


Health Providers in India

Health Providers in India

Author: Kabir Sheikh

Publisher: Routledge

Published: 2012-09-10

Total Pages: 303

ISBN-13: 1136516824

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This volume has articles contributed by health researchers, practitioners, policy advocates, programme managers and a journalist, and poems by renowned poet–physician Gieve Patel. Each presents a distinctive view of a particular group of frontline health providers, based on field research or on the authors’ respective experiences of working with or as providers. The health providers addressed in this volume include doctors (working in the public and private sectors), nurses, public health workers, counsellors, traditional practitioners and homecare providers. Different groups of health providers face struggles at diverse frontiers — social, professional and systemic. In the context of reforming health systems, government health workers must constantly negotiate the vagaries of changing working environments and policy vacillations. For traditional and homecare providers, formal health systems and structures often only reject and exclude their contributions. Medical doctors, conversely, face difficult challenges of introspection, as they tread the line between personal gain and public service. The ideas and themes that emerge in this collection not only contribute to the understanding of providers’ roles as actors in the health systems and societies of contemporary India, but re-examines preconceptions about this critical occupational group. This volume advances the case for a deeper appreciation of India’s complex landscape of healthcare provision, and of the potential roles of frontline health providers as central figures in development.


Public Health in India

Public Health in India

Author: Diatha Krishna Sundar

Publisher: Routledge

Published: 2015-06-05

Total Pages: 152

ISBN-13: 1317408942

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Despite rapid advances in modern medicine and state-of-the-art health care services in the private sector, primary health care in India remains inaccessible to a majority of the population. Besides, even policymakers often do not have access to real-time data to fine-tune their policies or design appropriate research and intervention programmes. Drawing on field experiences, this volume brings together scholars and practitioners to examine public health from different perspectives. It discusses practical and applied issues related to the health sector, especially the role of Information and Communications Technology (ICT); participation of civil society; service delivery; quality evaluation; consumer empowerment; data management; and research and intervention. This book will be useful to scholars, students and practitioners of public health in developing countries such as India. It will also interest policymakers, health care professionals, and departments of public health management and those concerned with community medicine.


Reproductive Politics and the Making of Modern India

Reproductive Politics and the Making of Modern India

Author: Mytheli Sreenivas

Publisher: University of Washington Press

Published: 2021-05-03

Total Pages: 285

ISBN-13: 0295748850

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Open-access edition: DOI 10.6069/9780295748856 Beginning in the late nineteenth century, India played a pivotal role in global conversations about population and reproduction. In Reproductive Politics and the Making of Modern India, Mytheli Sreenivas demonstrates how colonial administrators, postcolonial development experts, nationalists, eugenicists, feminists, and family planners all aimed to reform reproduction to transform both individual bodies and the body politic. Across the political spectrum, people insisted that regulating reproduction was necessary and that limiting the population was essential to economic development. This book investigates the often devastating implications of this logic, which demonized some women’s reproduction as the cause of national and planetary catastrophe. To tell this story, Sreenivas explores debates about marriage, family, and contraception. She also demonstrates how concerns about reproduction surfaced within a range of political questions—about poverty and crises of subsistence, migration and claims of national sovereignty, normative heterosexuality and drives for economic development. Locating India at the center of transnational historical change, this book suggests that Indian developments produced the very grounds over which reproduction was called into question in the modern world. The open-access edition of Reproductive Politics and the Making of Modern India is freely available thanks to the TOME initiative and the generous support of The Ohio State University Libraries.


Public-Private Partnerships in Health Care in India

Public-Private Partnerships in Health Care in India

Author: A. Venkat Raman

Publisher: Routledge

Published: 2008-11-19

Total Pages: 244

ISBN-13: 1134035047

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The book examines how the private sector in developing countries, specifically India, is tapped to deliver health care services to poor and underserved sections of population, through collaborative arrangements with the government.


Health and Wellbeing in Late Life

Health and Wellbeing in Late Life

Author: Prasun Chatterjee

Publisher: Springer Nature

Published: 2019-09-06

Total Pages: 213

ISBN-13: 9811389381

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This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers—doctors, nurses, and professional caregivers as well as family members—about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.