Disasters and exemplified vulnerabilities in a cramped Public Health Infrastructure in India

Authors

  • Baljeet Kaur Tata Institute of Social Sciences, Mumbai, India

DOI:

https://doi.org/10.18485/ijdrm.2020.2.1.2

Keywords:

Disasters, vulnerabilities, public health infrastructure, India

Abstract

The varied connotations to the term ‘Development’ are been channeled through perception. The perception of a political stakeholder differs from that of a rich-businessman, and again, from those who are lesser endowed. There is a pressing need for the government, to identify and maintain checks and balances between exploitative and responsive governance.  The extension of the healthcare sector is an integral part of this holistic growth, while the customer base has largely financed the industry; the obligation on the hand of government needs to increase. The out of pocket spending by patients covers the finances of the sector by 64.2%. (NSSO, 2014 report). The lesser amount of government spending in the healthcare system is a drawback and has effects on the Industry in a negative frame in a large manner, only 28.6% of Total Health Expenditure is financed by Govt. of India and therefore, calls for the need for better financing mechanisms in the country in the form of insurance schemes and a smoother flow of the already existing policies and frameworks. In the debate of private v/s public hospitals, the paper presents reasons that create a barrier on effective utilization of benefits provided, and further constructs the viewpoint that though expensive, private healthcare services provide more assurance to the population in general. The over-crowding of these public institutions in times of epidemics or otherwise, is a self-indication of the dearth of infrastructure and the kind of impacts the interventions has had in terms of alleviating such grievances. The several debates that I have tried to analyze and interpret include those of the intersections the individuals of the country and the lawmakers have crossed in terms of developmental projects and whether these promises hold true in terms of concrete reality. The depth of understanding and entering these discussions is only a gateway to more pertinent questions of whether the present infrastructure has dwindled due to disasters in the past? Are we actually moving to building resiliency or is it just a mock-up present on paper only? The paper reflects qualitatively on several government reports on health and the state of the hospitals presented within various contexts of Disasters in the past. The analysis of the National Rural Health Mission, National Urban Health Mission and various others programs initiated by the Government of India and the scope that it has to remove the present day struggled faced by an over-crowded and pressurized public sector healthcare structure.

References

Dey, S. (2018, June 20). India's health spend just over 1% of GDP. Retrieved December 18, 2018, from Times of India: https://timesofindia.indiatimes.com/business/india-business/indias-health-spend-just-over-1-of-gdp/articleshow/64655804.cms

Yadavar, S. (2018, Jan 30). Budget 2018: India’s Healthcare Crisis Is Holding back National Potential. Retrieved Dec 19, 2018, from IndiaSpend: https://www.indiaspend.com/budget-2018-indias-healthcare-crisis-is-holding-back-national-potential-29517/

Mishra, P., & Agarwal, A. (2017, Oct 24). Public Health in India: Gaps in Intent, Policy, and Practice . The Hindu Center for Politics and Public Policy , 30.

Gopalakrishnan, S., & Immanuel , A. (2017, Dec 9). Progress of health care in rural India: a critical review of National Rural Health Mission. International Journal of Community Medicine and Public Health .

Basu, S., Andrews, J., Kishore, S., Panjabi, R., & Stuckler, D. (2012, June 19). Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review. PLOS Medicine

Bajpai, V. (2014, May 17). The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions . Advances in Public Health .

Kumar, A., & Gupta, S. (2012, July). Health Infrastructure in India: Critical Analysis of Policy Gaps in the Indian Healthcare Delivery. Vivekanand International Foundation .

D'Cunha, S. D. (2017, Sep 12). Despite A Booming Economy, India's Public Health System Is Still Failing Its Poor. Retrieved from Forbes: https://www.forbes.com/sites/suparnadutt/2017/09/12/despite-a-booming-economy-indias-public-health-system-is-still-failing-its-poor/#40c8b63a78e0

Lokhandwala, Y. (2016). Decline in public health infrastructure in India. Indian Journal of Medical Ethics , 73.

Sharma, K. D. (2012). Implementing Quality Process in Public Sector Hospitals in India: The Journey Begins. Indian Journal of Community Medicine , 150-152.

Smith, S. M., Gorski , J., & vennelakanti, H. (2010). Disaster preparedness and response: a challenge for hospitals in earthquake-prone countries. International Journal of Emergency Management , 209-220.

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Published

2020-09-10

How to Cite

Kaur, B. (2020). Disasters and exemplified vulnerabilities in a cramped Public Health Infrastructure in India. International Journal of Disaster Risk Management, 2(1), 15–22. https://doi.org/10.18485/ijdrm.2020.2.1.2