Social Accessibility of Healthcare in India: A Policy based Study of Pre and Post-Independence Era Dr Sanjay Kumar

Sanjay Kumar

Abstract


The accessibility of affordable and equal healthcare has always been a critical and significant issue in view of the low paying capacity of a large proportion of the population in India. As the role of the private sector healthcare providers is becoming more widespread (particularly in the past two-three decades), healthcare services are getting out of reach of the poor and marginalized sections of the population. There is an added emphasis on insurance-based healthcare system in the recent years. This system further deprives a large section of the poor from accessing healthcare facilities due to their inability to pay insurance premiums on time.After economic reform in India, a high degree of income differentiation has led to a rise in lifestyle diseases for the rich and under-nutrition and other communicable diseases for the poor. There are wide inequities in accessibility of healthcare services among the various sub-groups of society on the basis of class, caste, religion, region, gender, etc. The Scheduled castes and Scheduled tribes (SCs and STs) sub-groups have less access to private health services and are consequently more dependent on the public health sector, while public health sector become totally insufficient to treat majority of the people. According to studies More than 35 percent of the Indian population suffers from serious diseases or illnesses which have an adverse impact on the quality of life. India constitutes nearly 16.5 percent of the world’s population but has a share of 20 percent of the world’s diseases (.[62] The policy analysis is an established research and academic discipline in the industrialized and developed countries. But in developing countries like India, its application is still limited, particularly in the healthcare sector. On the behalf of public health policies many studies are arguing that health of the common people has never been a priority in Indian society as in many other places in the world. This can be highlighted through the fact that it is largely invisible in the domestic debates till now.


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References


Amrith SS. Decolonizing International Health: India and South-East Asia, 1930-1965. Palgrave, New York, 2006.

Amrith SS. Health in India Since Independence. BWPI Working Paper-79,

University of Manchester, UK, 2009.

Anand S, Peter F, Sen A. Public Health, Ethics and Equity. Oxford University Press, New Delhi, 2004.

Anderson C. What's the Difference Between Policies and Procedures? 2005. Available from: http://www.bizmanualz.com/blog/ whats-the-difference-between-policies-and-procedures.html. Accessed on: Mar 21, 2014.

Arnold D. Science Technology and Medicine in India. New Cambridge History of India. Vol-III. Cambridge University Press, London, 2000.

Baggott R. Public Health: policy and politics. Amazon, U.K, 2000.

Basu A. Cultural Differences in the Status of Women in India. Cited in the World Bank 1996. Improving Women’s Health in India, Washington D.C., 1989.

Buchanan A. Justice and Health care: selected Essays. Oxford University Press, New York, 2009.

DasGupta M, Lincoln C, Krishnan TN (Eds.) Health, Poverty and Development in India. Oxford University Press, Delhi, 1998.

Deacon B. Global Social Policy: International Organizations and the Feature of Welfare. Sage Publication, London, 1997.

Department of Health. Government of India. The Report of Health survey and Development Committee (Bhore Committee). Vol. 1. The Government of India Press, Calcutta, 1946.

Department of Health. Government of India. The Report of Health survey and Development Committee (Bhore Committee). Vol. 2. The Government of India Press, New Delhi, 1946.

Department of Health. Government of India. The Report of Health survey and Development Committee (Bhore Committee). Vol. 3. The Government of India Press, Simla, 1946.

Department of Health. Government of India. The Report of the Special Committee for the Preparation of the Entry of National Malaria Eradication Programme into Maintenance Phase (Chadha Committee), Delhi. 1963.

Desai M, Mahabal KB (Eds.). Health Care Case Law in India. Center for Enquiry into Health and Allied Themes (CHEAT) and India Center for Human Right and Law (ICHRL), Mumbai, 2007.

Division of Health Planning and Information. Government of India. Review Draft of National Health Policies, New Delhi, Dec 2005.

Dreze J, Sen A. Cited in Amrith SS. Health in India Since Independence. BWPI. Working Paper 79, 2009. Available from: https:// www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source= web&cd=1&ved=0CCsQFjAA&url= http%3A%2F%2Fwww.bwpi.manchester.ac.uk%2Fresources%2FWorking-Papers%2Fbwpi-wp-7909.pdf&ei=BCpMUt_PFIerrAeg34Dw DQ&usg=AFQjCNEW-pM2Hj8tqkgwR68Hew MEO2gX2w. Accessed on: Apr 10, 2011.

Dutta AK. Block Fever in Bihar: Experiences and Responses. EPW, 2008; XLIII(12-13).

Germain A. Cited in Gupta M D, Chen LC, Krishnan TN. Women’s in India Risk and Vulnerability. Oxford University Press, Bombay, 1995.

Global Health Watch. An Alternative World Health Report. Zed Books Ltd., New York, 2005-06.

Gopalan C. Changes to Public Health System. EPW Special Vol, 1994.

Government of India. The Report of Udapa K.N. Committee on Ayurveda Research Evaluation. National Printing Works (The Times of India Press), New Delhi, 1958.

Gupta MD. Selective Discrimination against Female Children’s in Rural Punjab. Indian Population and Development Review 1987; 13.

Indian Institute of Education. The Report of ICSSR & ICMR: Health for All-An Alternative Strategy, Pune. 1981. Available From: http:// hetv.org/pdf/frch-alternative.pdf. Accessed on: Aug 24, 2013.

Indian Institute of Education. Government of India. The Report of ICSSR & ICMR: Health for All-An Alternative Strategy, Pune. 1981. Available from: http://hetv.org/pdf/frch-alternative.pdf.

Iyer A, Jesani A. Barriers to the Quality of Care: The Experience of Auxiliary Nurse-Midwives in Rural Maharashtra. Cited in Koening MA, Khan ME (Eds.). Improving Quality of Care in India’s Family Welfare Programme, Population Council, Govt of India, 1999.

Majra JP. National Health Policy 1983 (NPH-1). Department of Community Medicine, K.S. Hegde Medical College, Government of India.

Available from: www.similima.com.

Kishore J. A Dictionary of Public Health. Century Publication, New Delhi, 2007: 726-27. Available from: http://www.apha.org/ NR/rdonlyres/C57478B8-8682-4347-8DDF-A1E24E82B919/0/what_is_PH_May1_Final.pdf. Accessed on: Jun 21, 2014.

Leon DA, Walt G (Eds.). Poverty, Inequality and Health: An International Perspective. Oxford University Press, New York, 2001.

Ministry of Health and Family Welfare. Government of India. Report of the High Power Committee on Nursing and Nursing Profession (Mrs. Sarojini Varadappan Committee), New Delhi, 1989.

Ministry of Health and Family Welfare. Government of India. The Report of Udapa K.N. committee on Ayurved Research Evaluation, New Delhi. 1958.

Ministry of Health and Family Welfare. Government of India. The Report of the Committee on Basic Health Services (Mukerji Committee), Delhi. 1966.

National Institute of Malaria Research. Indian Council of Medical Research. Government of India. The Report of Household Survey and Health Facility Survey for In-Depth Review of NVBDCP (Malaria), Delhi, 2003.

National Planning Committee. Government of India. National Planning Committee Series: Report of the Sub-Committee (Sokhey Committee). Vora & Co., Publishers Ltd., Bombay, 1948.

Palit C, Dutta A (Eds.). History of Medicine in India: The Medical Encounter. Kalpaz Publications, New Delhi, 2005.

Pandey R, Yazbeck A. What’s in a Country Average? Income, Gender and Regional Inequalities in Immunization in India. Social Science and Medicine Dec 2003; 57(11).

Pati B, Harrison M (Eds.). Health Medicine and Empire: Perspective on Colonial India. Orient Longman, New Delhi, 2001.

Peters DH, Yazbec ASK, Sharma RR et al. Better Health System to India’s Poor: Findings, Analysis and Options, World Bank. Hindustan Publishing Corporation, New Delhi, 2002: 1-2.

Planning Commission. Government of India. Report on Working Group on Population Policy, New Delhi, 1980.

Planning Commission. Government of India. The Report of the Expert Group to Review the Methodology for Estimation of Poverty (Tendulkar Committee), New Delhi. 2009-10.

Population Policy Initiatives in India. Available from: http://www.ghwatch.org/ english/casestudies/healthpop_india.pdf. Accessed on: Apr 23, 2011.

Prasad S, Sathyamala C (Eds.). Securing Health for All Dimensions and Challenges. Institute for Human development, New Delhi, 2006.

Qadeer I. The World Bank Report 1993: Brave New World of Primary Health Care. Cited in Rao M (Ed.). Disinvesting in Health: The World Bank’s Prescriptions for Health. Sage, New Delhi, 1993.

Qadeer I. Population and Structural Readjustment: Games Nations Play. Voice, Banglore, 1995; 2.

Qadeer I. Right and Reproductive Health: A Perspective. Unpublished Paper Presented at The Workshop On Right and Reproductive Health in India’s Primary Care. Organised by School of Social Science, JNU, 4-5 Nov, 1996.

Qadeer I, Sen K, Nagar KR (Eds.). Public Health and poverty Reforms: A south Asian predicament. Sage Publication, New Delhi, 2001.

Raj P, Raj A. Caste Variation in Reproductive Health Status of Women: A Study of Three Eastern States. Sociological Bulletin, Journal of the Indian Sociological Society Sept-Dec 2004; 53(3).

Ramachandrudu G (Ed.). Health Planning in India. APH Publishing Corporation, New Delhi, 1997.

Ramanna M. Western Medicine and Public Health in Colonial Bombay. Orient Longman, New Delhi, 2002.

Rao M. Health and Population Policy Initiatives in India. Dec 2008. Available from: http://www.ghwatch.org/english/casestudies/healthpop_India.pdf. Accessed on: Apr 23, 2011.

Reddy SK, Kumar SAK. The Road to Universal Healthcare. The Hindu, Delhi, Apr 14, 2012.

Sagar A. Evaluation of Health Planning in India. Cited in Upadhyay V et al. (Ed.). From Statism to Neo-Liberalism: the Development Process in India. Danish Books, New Delhi, 2009.

Sathyamala C, Sundharam N, Bhanot N. Taking Sides: The Choices Before the Health Worker. Asian Network for Innovative Training Centre (ANITRA), Madras, 1986.

Saxena KB. Health policy and Reforms: Governance in Primary Healthcare. Council for Social Development (CSD). Aakar Books, New Delhi, 2010.

Sen G, Iyer A, George A. Structural Reforms and Health Equity: A Comparison of NSS Surveys, 1986-87 and 1995-96. Economic and Political Weekly, 2002; XXXVII(14).

Sen G, Germain A, Lincoln CC (Ed.). Population Policies Reconsidered: Health, Empowerment and Rights. Harvard University Press, Harvard, 1994.

Sen G. Improving Women’s Health Key Indian Strategy, Gazette. Harvard University Press, Oct 2007.

The Centre for Technology and Development. Society for Economic and Social Studies, New Delhi, with the collaboration of Centre for Trade and Development and WHO, Office for India, 2010. Economic Constraints to Access to Essential Medicine in India, New Delhi.

The Constitution of India, Part-four, Article-47, and Seventh Scheduled List: List II-State List; 6. Cited in The Constitution of India. Central Law Publication, Allahabad, 2009.

The Ministry of Health and & Family Welfare. Government of India. The Report of the Expert Committee on Public Health System, Delhi, 1996: 18-19.

The Ministry of Health. Government of India. The Report of the Health Survey and Planning Committee (Mudaliar Committee), Delhi, 1961.

The Ministry of Information and Broadcasting. Government of India. Yojana, New Delhi, Apr 2009.

The Planning Commission. Government of India. The Ninth Five Year Plan. Yojana Bhavan, New Delhi, 1997-2002.

The Ministry of Statistics and Programme Implementation. Government of India. The Report of 60th Round National Sample Survey Organisation: Morbidity, Health Care and Condition of Aged, Delhi, Mar 2006.

Upadhyay V, Kak S et al (Ed.). From Statism to New-Liberalism: the Development Process in India. Danish, New Delhi, 2009.

Vaguet A (Ed.). Indian Health Landscapes under Globalisation. Manohar, New Delhi, 2009.

Velkoff VA et al. Women of the World: Women’s Health in India. International Programs Center, Census Bureau, U.S.A., 1998.

Verma KK. Health Care and Family Welfare: Alternative Strategies. Mittal Publications, New Delhi, 1992.

Visaria L. India’s 15th Population Census: Some Key Findings. Yojana, The Ministry of Information and Broadcasting, Government of India, Jul 2011.

Whitehead M. The Concepts and Principles of Equity and Health. WHO, Copenhagen, 1990.

World Health Organisation. United Nations International Conference on Population and Development (ICPD), Cairo


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