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This volume provides a holistic narrative that explains the politics of health care access in terms of distribution, utilization, and outcomes as well as the context in which health inequalities are reproduced which is critical not only to scholarly understanding of health care but to informing the development of health care policy in India at a critical juncture.
List of contents
- List of Tables and Figures
Introduction : Health Inequities in India : The Larger Dimensions
N Purendra Prasad
Section I: State, Market, and Health Care
1. State, Community, and Primary Health Care: Disempowering Discourses?
Ritu Priya
2. Health Care Reforms: Do they Ensure Social Protection for the Working Poor
N Purendra Prasad
3. Medical Industrial Complex: Trends in Corporatisation of Health Services
Rama V Baru.
4. Social Roots of Medical Education
Neha Madhiwalla
5. Medical Education and Basic Health Care: Forging Connections
Anand Zacharaiah
Section II: Pharmaceuticals and Experimentation
6. Globalization, Intellectual Property Rights, and Pharmaceuticals
Amit Sengupta.
7. Access to Pharmaceuticals: Role of State, Industry, and Market
S Srinivasan and Malini Aisola
- 8. Structure, Organization, and Knowledge Production of Clinical Trial Industry
Roger Jeffery, Gerard Porter, Salla Sariola, Amar Jesani, and Deapica Ravindran
9. Body as `Resource' in
- Surrogacy and Bio-medical Research: New Frontiers and Dilemmas
Sarojini Nadimpally and Vrinda Marwah.
Section III: Equity Issues in Health Care - Gender, Caste, Disability and Violence
10. Health, Disability, and Equity: Conversation Among Bodies, Discourses, and Law
Renu Addlakha.
11. Caste, Class, and Gender on the Margins of the State: An Ethnographic Study Among Community Health Workers
Madhumita Biswal
12. Legitimising Violence: A Narrative of Sexual Health
Asima Jena
13. Addressing Violence Against Women as a Health Care Issue: Perceptions and Approaches
Sangeeta Rege and Padma Deosthali.
Section IV: Right to Health and Universal Health Strategies
14. Universal Health Coverage: How Viable?
K Srinath Reddy and Manu Raj Mathur
- 15. Kerala's Early Experience: Moving towards Universal Health Coverage
Sunil Nandraj and Devaki Nambiar
16. A Financing Strategy for Universal Access to Health Care: Maharashtra Model
Ravi Duggal.
17. The Right to Health: A Contested
- Journey
Kajal Bharadwaj, Veena Johari and Vivek Divan
Index
About the Editors and Contributors
About the author
N Purendra Prasad is Professor at the department of sociology and has been working at University of Hyderabad since 2000. His research interests include political economy of health, agrarian studies, development and urban studies. He is on the academic and ethical advisory boards of several universities and institutions in India.
Amar Jesani is an independent consultant - researcher and teacher - in bioethics and public health. He is one of the founders of the Forum for Medical Ethics Society and its journal, Indian Journal of Medical Ethics (IJME) and is presently its editor. He is also one of the founding trustees of the Anusandhan Trust, which manages the health research institute, CEHAT (Centre for Enquiry into Health and Allied Themes) in Mumbai, and the health action institute, SATHI in Pune since 2010.
Summary
Healthcare issues have assumed significant socio-economic and political significance in contemporary India. Both the central and the state governments have responded to criticisms of health care inaccessibility by including it as a part of its developmental policies in the last two decades. Given this context, the contributors to this volume explore how the health care system is structured in India; the role of the state, market, private, and corporate sector in health care; the distribution of basic health care facilities by the state across caste, class, gender, and spatial locations; the implications of increasing clinical trials and use of pharmaceuticals in terms of cost, exclusion, and ethicality; how globalization created opportunities or built hurdles for democratizing health care facilities; and the critical role of communities in the new health care system. This edited volume thus provides a holistic narrative that explains the politics of health care access in terms of distribution, utilization, and outcomes as well as the context in which health inequalities are reproduced which is critical not only to our scholarly understanding of health care but to informing the development of health care policy in India at a critical juncture.
