Equity and access: health care studies in India

Table of contents

List of Tables and Figures
Acknowledgements
List of Abbreviations

Introduction: Health Inequities in India—The Larger Dimensions
Purendra Prasad

I STATE, MARKET, AND HEALTH CARE

1. State, Community, and Primary Health Care: Empowering or Disempowering Discourses?
Ritu Priya
2. Health Care Reforms: Do They Ensure Social Protection for the Labouring Poor?
Purendra Prasad
3. Medical–Industrial Complex: Trends in Corporatization of Health Services
Rama V. Baru
4. Social Roots of Medical Education
Neha Madhiwalla
5. Medical Education and Basic Health Care: Forging Connections
Anand Zachariah

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

III EQUITY ISSUES IN HEALTH CARE—GENDER, CASTE, DISABILITY, AND VIOLENCE

10. Health, Disability, and Equity: Conversations 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. Legitimizing Violence: A Narrative of Sexual Health
Asima Jena
13. Violence against Women as a Health Care Issue: Perceptions and Approaches
Sangeeta Rege and Padma Bhate-Deosthali

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 Winding Road to Actualization
Kajal Bhardwaj, Veena Johari, and Vivek Divan

Index
Editors and Contributors

Equity and Access attempts to unravel the complex narrative of why inequities in the health sector are growing and access to basic health care is worsening, and the underlying forces that contribute to this situation. It draws attention to the way globalization has influenced India’s development trajectory as healthcare issues have assumed significant socio-economic and political significance in contemporary India. The volume explains how state and market forces have progressively heightened the iniquitous health care system and the process through which substantial burden of meeting health care needs has fallen on the individual households. Twenty-eight scholars comprising social scientists, medical experts, public health experts, policy makers, health activists, legal experts, and gender specialists have delved into the politics of access for different classes, castes, gender, and other categories to contribute to a new field ‘health care studies’ in this volume. Adopting an interdisciplinary approach within a broader political-economy framework, the volume is useful for understanding power relations within social groups and complex organizational systems.

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