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NRHM: addressing the challenges by KS Jacob

NRHM needs to revitalise systems, monitor their functional performance and investigate their impact on the indices of health. The National Rural Health Mission (NRHM) was launched in 2005 to bring about a dramatic improvement in the health system and health status of people in rural India. It seeks to provide universal access to health care, which is affordable, equitable, and of good quality. It aims at making architectural corrections to basic...

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Unique facility, or recipe for trouble? by Jean Drèze

It is quite likely that a few weeks from now someone will be knocking at your doors and asking for your fingerprints. If you agree, your fingerprints will enter a national database, along with personal characteristics (age, sex, occupation, and so on) that have already been collected from you, unless you were missed in the “Census household listing” earlier this year. The purpose of this exercise is to build the National...

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Black swan in micro-finance by Ajit Ranade

The SKS IPO and the Andhra Pradesh ordinance have suddenly changed everything. Will it be the death knell or will it usher in a reformed and healthy industry? There are three basic facts about micro-finance in India. First, most of what is described as micro-finance industry is actually micro-loans. There is hardly any provision of micro-savings, micro-investments, micro-insurance or micro-pensions. This is mostly because of regulatory reasons, i.e. accepting money...

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India’s micro vision by Samar Halarnkar

Time magazine picked him as one of 100 people shaping our world. Today, he’s held responsible for bringing an exciting, inspirational business into disrepute. Oh, and his wife says he beat her and snatched their son. There could not be a more controversial torchbearer than Vikram Akula for an industry as quintessentially Indian as microfinance, the business of providing the poor with loans, as small as R5,000, secured not with...

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A Deadly Misdiagnosis by Michael Specter

Every afternoon at about four, a slight woman named Runi slips out of the cramped, airless room that she shares with her husband and their sixteen children. She skirts the drainage ditch in front of the building, then walks toward the pile of hardened dung cakes that people in this slum on the edge of the northeastern Indian city of Patna use for fuel. Dressed in a bright-yellow sari shot...

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