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

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Hospitalised Care among Larger States

Though the global spending on health is rising worldwide, people were still paying too much out of their pockets. This article examined the comparative expenditure on hospitalised care in India using three rounds of the National Sample Surveys. As there is low footfall in public facilities, the Government of India needs to take necessary measures to strengthen the public health system.

 

States’ Debt Burden Surges to a 15-year High

Strengthening the pandemic-devastated state finances will help boost both welfare and growth.

 

India’s Government Health Expenditure as the Ratio to GDP

The appropriateness of the criterion that pegs the ratio of public health expenditure to the gross domestic product—which is volatile—needs a re-examination. The targets for allocation and expenditure of financial resources for health need to be based on indicators that can be monitored.

 

COVID-19 and the Everyday Challenges of Indigenous Peoples of Tripura

Although there were some responses from the government and community sociocultural organisations to deal with an unforeseen crisis during the COVID-19 pandemic, it brought enormous challenges in the everyday life of indigenous peoples of Tripura. In this article, the everyday challenges faced by the rural indigenous peoples of Tripura during the first wave of the COVID-19 pandemic and the immediate response by the government and community sociocultural organisations are unravelled.

 

Economic Impact of COVID-19-induced Lockdown on Rural Households

Through a series of data visualisations, the article attempts to illustrate the economic repercussions of the COVID-19-induced lockdown of 2020 on rural households. It focuses on how consumption, labour and income, healthcare, access to relief programmes and migration were effected by the lockdown in six major states.

 

The Spectacle as a Distraction

The euphoria around the COVID-19 vaccination milestones conceals misdirected priorities and incomplete goals.

 

Experiences with Government-sponsored Health Insurance Schemes in Indian States

The implications of expanding government-sponsored health insurance schemes in India are analysed from a fiscal perspective. The experiences of two of the earliest and largest GSHI schemes of the country implemented in Andhra Pradesh and Tamil Nadu are examined. The results suggest that the expansion of the GSHI schemes may skew expenditure away from primary and secondary care towards tertiary care if the fiscal space is limited. A competitive public health system may help in containing costs and the corresponding fiscal burden. The effectiveness of public spending through such schemes is ambiguous.

 

Using Public Procurement Strategically

The article examines policy decisions and practices in public procurement in India during the pandemic, and finds that bureaucracy could not use public procurement strategically and relied upon archaic and centralised management of procurement to (mis)handle the pandemic. The article also offers some lessons from China’s procurement designs and calls for a major reform in this sector in India.

 

Integration of Health Services for Older Persons in Urban India

This paper presents a review of the available literature on integrated care for older persons in the urban context in India. Our methodology is a systematically conducted scoping review. Our findings present the epidemiological and demographic profiles of older persons in India, the health services available to them, and the policies and programmes that govern these services. Based on our review, we provide an understanding of the gaps in the available literature and offer some policy recommendations.

Not ‘Sailing in the Same Boat’: Why the COVID-19 Pandemic Has Been Worse for LGBTQI+ Persons in India

While the COVID-19 pandemic has disrupted lives across the world, there can be no argument that the worst-affected are individuals and communities that were already vulnerable before the pandemic. The pandemic has exacerbated and made visible existing structural inequities. Like other crises, the pandemic is not neutral to gender, caste, ethnicity, class, sexuality or any other determinant of one’s social location. It is more than clear now that people already marginalised and stigmatised, are the worst hit by the pandemic lockdowns. The hit is marked on several axes —psychological, economic...

Who Does a Cyclone Actually Affect? Analysing the Impacts of Major Cyclones in India

While “natural disasters” such as cyclones cause widespread and indiscriminate devastation, their impact is much worse for vulnerable communities. Such groups face the brunt of not only the cyclone but also of inefficient government planning, caste discrimination, health problems and apathy.

COVID-19 and Tribal Communities: How State Neglect Increased Marginalisation during the Pandemic

In the absence of state support and social security, the COVID-19 pandemic and lockdowns created short- and long-term hardships for already marginalised tribal communities in India.

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