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

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Demand-side Financing and Promotion of Maternal Health

Use of demand-side financing has become increasingly common in maternal healthcare and India has been a leading example with large-scale programmes such as the Janani Suraksha Yojana and Indira Gandhi Matritva Sahyog Yojana. This paper undertakes a systematic review of the evidence to consider how demand-side financing has been used and whether there has been any impact on maternal health service utilisation, maternal health, or other outcomes. The findings suggest that a relatively narrow focus on achieving targets has often overburdened health facilities, while inadequate referral systems and unethical practices present overwhelming barriers for women with obstetric complications. The limited evidence available also suggests that little has been done to challenge the low status of poor women at home and in the health system.

Disabled by Lack of Political Will

The government’s failure to table the Disabilities Bill in Parliament is unforgivable.

Too Little, Too Late

While the union government announced its plan to extend the Rashtriya Swasthya Bima Yojana to the unorganised working class poor like rickshaw-pullers, ragpickers, mineworkers, sanitation workers, etc, the Government of Maharashtra has decided to scrap RSBY and replace it with the Rajiv Gandhi Jeevandayee Arogya Yojana. This article analyses the conditions of waste pickers and argues not to pit one type of healthcare against another and not to scrap schemes like the RSBY that have come anyway too late.

Poverty-Hunger Divergence in India

The usual explanations for the divergence between calorie intake and consumption expenditure in India ignore the enormous squeeze on food budgets arising from dispossession (leading to loss of access to common property resources), rising migration (involving a loss of access to non-market food items) and the forced turn to the private sector for social sector services that are more expensive than public sector provision. It is the resulting squeeze on food budgets that has led to calorie intake declining even as per capita consumption expenditure has risen.

The Rationalist Movement against Quack Healing

Following the murder of the anti-superstition crusader Narendra Dabholkar in Maharashtra there has been a lot of outrage against quacks and "babas". However, in a diverse and pluralist country, it is difficult to determine which healing practices constitute "superstition" and which are genuine. Further, the rationalist movement fails to distinguish adequately between faith and blind faith often seeing the opposition between science and religion in either/or terms. In this rationalist world view, there is little space for the mystical, spiritual, or even the cultural and symbolic.

Nursing Grievances

Nurses in private hospitals are little better than bonded labour.

Nurses' Strikes in Delhi: A Status Question

A comprehensive change in looking at nurses' issues is required, not only from the perspective of "quality healthcare", but also of their working conditions and treatment by hospital management. Better organising and increasing strikes by nurses has compelled the state - the Delhi government - to respond to their concerns.

Unsafe Abortions and Women's Health

Although unsafe and illegal abortions claim many lives and severely damage women's health, international conventions on providing safe facilities for women have not had much success. A rights-based perspective on the issue.

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