-Live Mint At a time when India plans a multi-pronged attack on malnutrition in 200 high-burden districts, it will pay to examine the cracks in state institutions that have led to past failures and can still derail well-intentioned plans. Melghat, a tribal corner in the northeastern fringes of India’s richest state—Maharashtra—is an apt example of almost everything that has gone wrong in India’s response to malnutrition and child deaths. Every 14th child dies...

BANWARA, India – In the fall of 2006, Gita Devi was pregnant with her sixth child when her family fell on hard times. A severe drought made it more difficult than ever to find farm work here in India’s northeastern plains. The family couldn’t afford food. It was unable to get a government ration card to buy grains and rice at steep discounts, even though it clearly was poor enough to...

Progressive strengthening of public facilities is the only way to reach medical services to the population as a whole. “The best form of providing health protection would be to change the economic system which produces ill health, and to liquidate ignorance, poverty and unemployment. The practice of each individual purchasing his own medical care does not work. It is unjust, inefficient, wasteful and completely outmoded ... In our highly geared, modern...

HINDIYANKALAN, India – One afternoon last November, 10 people in this eastern Indian village sat in a circle on a dirt road and told us about their fight against hunger. We wanted to know: What would drive a person to eat a poisoned root? I was on a research assignment with my colleague Ankita Aggarwal from the Centre for Equity Studies, a New Delhi think tank. It was part of a...

Each time 25 year old Salma takes her one year old son Zubair to the Batla Clinic (a private clinic in Delhi) for a shot of the DPT, the cost of transportation and the vaccine adds up to approximately Rs.500.   When it is time for Zubair to take the next immunization dose, Salma may find that the expenses have entirely spiraled out of her reach. New vaccines and expensive brands of baby...