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Managed care -TK Rajalakshmi

-Frontline Health activists say the health chapter of the Twelfth Plan document exaggerates the role of the private sector in providing health care. The draft chapter on health for the Twelfth Five Year Plan document not only is grossly inadequate in its approach but exaggerates to unrealistic levels the role of the private sector in providing health care. It invokes the concept of universal health care (UHC), but, critics say, it...

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Lessons from Melghat’s health crisis-Pramit Bhattacharya

-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...

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Long on Aspiration, Short on Detail by Sujatha Rao

The recommendations of the Planning Commission’s High Level Expert Group on Access to Universal Healthcare are significant because they make explicit the need to contextualise health within the rights. However, the problem with the report is that it does not ask why many of the same recommendations that were made by previous committees have not been implemented. The HLEG neither recognises the problems, constraints and compulsions at the national, state...

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Paying the price: Institutional delivery costs keep pregnant women at home by Tanvi Nalin

With institutional healthcare being prohibitively expensive, more women in rural India are choosing to deliver at home than in hospitals and healthcare facilities, says a new report brought out by Chittorgarh-based NGO, Prayas, in partnership with Oxfam India. The 'Study of the trends in out-of-pocket payments in healthcare during National Rural Health Mission period (2005-2010)', released on October 12 in the national capital, was conducted across five Indian states - Assam,...

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A private intervention by Radhieka Pandeya

By noon daily, the reception area of Surya Clinic in Muzaffarpur district of Bihar begins to fill up. Patients admitted for gyanecological care are clothed in the blue robes of the hospital and ushered into clean rooms with freshly made beds. At the state-run primary health centre (PHC) in Bochahan block of Muzaffarpur, which also offers family planning services, disposable gloves are washed and re-used and rusted beds are covered with...

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