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

Articles by Gita SenSubscribe to Gita Sen

Rashtriya Swasthya Bima Yojana

A study conducted of the Rashtriya Swasthya Bima Yojana in 2009-10 in Amaravati district of Maharashtra shows that there are critical concerns in the very design and implementation of the programme that may make it challenging for RSBY to reach its target of below the poverty line population. Thus, the poor in the more remote blocks and villages may be ignored for easier to reach potential enrollees as the premia paid for all are the same. Empanelled hospitals tend to be placed near district headquarters, raising costs of access for the poor beyond that covered in the programme and packages do not recognise treatment and care uncertainties that incentivise hospitals to treat simpler and less complicated diseases. Additionally, a lack of adequate planning for change in insurance providers creates breaks in service that are avoidable. In spite of these shortcomings users rate this programme highly and this underlies the importance of providing access to a functional healthcare system to the poor.

Universal Health Coverage in India

India's steps towards universal health coverage began in the early years after Independence but they faltered because of various factors, including resource constraints. The context has vastly changed since then but the need remains as urgent as it always was. This overview to the special issue on the report of the High Level Expert Group on Universal Health Coverage notes that the report takes into account the complex nature of the health situation in the country and puts forth an integrated blueprint for achieving UHC. There may be a few shortcomings, but if the interlinked proposals are implemented in a carefully planned manner, a long-delayed promise to the country's people could be largely fulfilled.

Systematic Hierarchies and Systemic Failures

This paper examines the realationship between gender and inequities in Koppal district of north-eastern Karnataka. The paper, based on the work of the Gender and Health Equity project in two taluks of the district, among the more backward in the state, finds a gender bias both in health-seeking behaviour in families, especially among the poorer households, and in the healthcare delivery system. Girls' and women's health suffers disproportionately as a result of this bias.

Structural Reforms and Health Equity

Preliminary results of an analysis of data sets on morbidity and health care utilisation from two NSS surveys in the 1980s and 1990s together with empirical results of other studies points the worsening of class-based inequalities in access to health services for both men and women. While gender inequity, particularly in untreated morbidity, appears to have remained severe, also seen is a relative worsening of access for poor men over this period, even though in absolute terms men are better off than poor women.

Industrialisation and Foreign Trade-A Critical Review

A Critical Review Gita Sen The links that the World Development Report, in its theme on the relationship between industrialisation and foreign trade, attempts to draw between outward orientation, state policy and industrial growth appear rather weak when set against the empirical evidence, historical facts, or the particular experience of South Korea.

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