Ghosh A.,An Sinha Institute Of Social Studies
Journal of Health Management | Year: 2015
This study tries to examine preventive health care services that diminish the possibility of exposure to diseases through improvement and accessibility to safe drinking water and sanitation facilities. Though some of the studies deal with the issue, most of them are concerned for national or state level. The district level study on the status of preventive health care is very limited. This study will consider all the districts of Bihar. We first reviewed the performance of Bihar in some public programmes such as total sanitation campaign (TSC) and outcome indicators from a comparative perspective. Then, a preventive health care index (PHCI) is constructed for all 38 districts of Bihar using the census data 2011. This index is a composite index of the four components, namely, bathroom index, drainage index, latrine index and safe drinking water index. An attempt has also been made to find out the determinants of PHCI. This shows that literacy, income and urbanization have a positive and significant impact on PHCI. Some area dummies are also positively significant. This suggests that Bihar requires a district-specific policy to be adopted for the improvement of preventive health care. Public programmes meant for the expansion of sanitation and drinking water facility need to be implemented effectively and efficiently. © 2015 Indian Institute of Health Management Research.
Choudhary N.,An Sinha Institute Of Social Studies
South Asia Research | Year: 2015
Despite strong constitutional safeguards and promises, malnutrition persists in major Indian conurbations such as Mumbai and manifests as a group phenomenon concentrated in certain slum pockets that remain institutionally isolated. Based on a detailed study of four slums in Mumbai, this article uses the entitlement approach developed by Amartya Sen to examine how group identity affects group differentials in achievement of basic capabilities. Irrespective of similar initial endowments, some groups were found able to achieve upward mobility over time, whereas others remained constantly vulnerable. This may be because the access to various resources and the ability to translate them into functioning assets are mediated in various ways, depending on people’s multiple identities, which sometimes constitute barriers. The article concludes that to alleviate malnutrition, proactive state agency and public transfers are needed to enhance deprived groups’ prospects to build on their basic capabilities to improve their lives. © 2015, Copyright © 2015 SAGE Publications.
Priya R.,An Sinha Institute Of Social Studies |
Ansari H.,An Sinha Institute Of Social Studies
Gerontechnology | Year: 2014
Purpose: This paper presents a brief overview of the situation of the elderly in India and policies relating to them. Method: It examines the possible large-scale social and technological developments appropriate for health and wellbeing of the elderly in India. Results & Discussion: Formal sector pensions as social security and technological inputs for individual assistive aids and health care, cater to the needs of the elderly of the urban upper and middle class in India. Social security provisions for the majority, despite large sized public programmes, involve noncontributory pensions providing minimal subsistence to a fraction of the rural and poor, only minimal access to health care and that primarily curative, as well as minimal provision of free food grain1. The creation of institutional care through old age homes can only be a partial solution, primarily for those with special needs.