ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Articles by K R NayarSubscribe to K R Nayar

Trajectories of the Transgender

The Supreme Court has issued notices to the centre and state governments asking for responses on why such a category as "third sex" should not be created for transgender people. The question starts from an inappropriate positioning of establishing hierarchies in gender and implied gender roles. Mainstreaming the so-called "sexual minorities" by creating a separate category will lead to stigma and discrimination, rather than encourage pluralistic expressions in gender.

Rural Health: Absence of Mission or Vision?

It is time to recognise that the utter neglect of primary healthcare and its related institutions has influenced the utilisation of health services and contributed to a worsening epidemiological profile in the country. In its present form, the proposed Rural Health Mission adds to the confusion about the country's approach to healthcare. Cost-effective interventions, such as the rational distribution of medical and financial resources, should be part of the vision but they are often brushed aside in favour of the privatisation logic.

Kerala: Confusing New Approach to Public Services

The modernising government programme (MGP) funded by ADB is geared towards a market-driven policy aimed at the gradual downsizing of public sector health services. The MGP strategy and some of its covert objectives will gradually extend the scope of privatisation of healthcare, creating chasms within the population and demolish welfare traditions.

Cooperatising Medical Care

Andhra Pradesh government's move to transfer the running of government hospitals to cooperative societies is not based on the actual experience of the working of medical cooperatives in India. The sustainability and cost-effectiveness of health cooperatives are yet to be studied systematically. Kerala's experience at any rate is distinctly discouraging.

Ordering the Doctors

The new regulation for ethical medical practice, prompted no doubt by public concern about medical misconduct, is unfortunately a vague and weak regulatory instrument. How effective will it be in monitoring unethical practices?

Health in the Ninth Plan

Given that there is enough evidence today to show that the long neglect of public health is dramatically changing the epidemiological profile, the Ninth Plan has paid little attention to improving these services.

Housing Amenities and Health Improvement-Some Findings

Do housing conditions including sanitary facilities and drinking water availability make an impact on health status? An examination of census and other data for 10 states shows unexpected associations.

Health and Structural Adjustment-Major Shifts at Policy Level

The World Bank's World Development Report 1993 proposes drastic changes in the direction and content of health service development. A recent seminar in Delhi raised issues regarding the report's conceptual methodological and empirical aspects.

Politics of Sustainable Development

K R Nayar The politics of 'sustainable development' lies in its being anti-south anti- poor and, thereby, anti-ecological THE 'eternal return of ideas

Environment and International Worldviews-Two Steps Backward

The global perspectives on environment are influenced by a predominant worldview imbued with an overriding concern for population growth in third world countries. The Club of Rome has the distinction of spreading the awareness of doomsday with puissant reports linking environmental issues with population growth. This paper attempts to show the neo-Malthusianism inherent in some global perspectives on environment and the reflection of these perspectives on Indian policies and programmes.

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