The Centre of Social Medicine and Community Health
An Overview and A Perspective
The Centre of Social Medicine and Community Health (CSMCH) is one of the eight Centres of the School of Social Sciences. These Centres were conceptualised by eight Special Committees that outlined the academic challenges that needed to be addressed by the Centres of JNU. The Special Committee of the Centre of Social Medicine and Community Health, which visualised the objective and the scope of the Centre, recognised the critical need of both delineating a field of enquiry in the discipline and generating a data base for public health in India. It emphasised these needs and placed them high on the Centre’s agenda along with the task of training both social scientists and physicians of academically applying themselves to the huge tasks of public health in the country.
The recognition that the discipline of Preventive and Social Medicine needed to be strengthened was the major impetus for establishing the Centre of Social Medicine and Community Health in the Jawaharlal Nehru University. The Centre was set up outside the confines of a medical college so that it could enrich itself through wider interaction with the various disciplines of natural and social sciences. Over the past 25 years, the Centre has acquired the rich experience of evolving problem-oriented interdisciplinary academic programmes in addition to building an active research base. At the same time, efforts have also been made at constructing institutional links with policy making.
Under the overall objective of creating academic programmes for making health services meaningful to the people of the country, the CSMCH set out its objective to understand the health problems and health needs of the Indian people with a view to find workable solutions for them in the existing social structure and to examine the social structure itself to delineate the structural constraints which limit the scope of health interventions. The task obviously requires an inter-disciplinary approach involving disciplines such as sociology, anthropology, psychology, economics, history, politics, demography, statistics and public administration, apart from the disciplines that are traditionally included in public health. It was for this reason that the Centre was located in the School of Social Sciences.
Academic Programmes
It was realised from the very beginning that social sciences would play a crucial role in the evolution of the Centre’s academic programmes. It was thus decided that the Centre’s faculty would comprise a mixed group of physicians and social scientists striving to break the barriers between the natural and social sciences, a factor which had in the past hindered the development of the discipline of public health.
EDUCATION PROGRAMME FOR PHYSICINS AND NURSES
MCH Programme of Study.
Physicians and nurses are offered admission to the Master of Community Health which is a pre-Ph. D. programme. The student is required to complete and acquire a cummulative grade A- (FGPA6.5) in the MCH programme before he/ she is admitted to the Ph. D. programme.
Eligibility to the Programme
For admission to the MCH programme, the minimum requirement is a good MBBS degree or M. Sc. in Nursing and one year experience in community health. The procedure for receiving applications, screening and selection of candidates are laid down by the University.
Duration of the Programme and Credit Distribution.
The Master of Community Health Programme is spread over 18 months, spanning three academic semesters, including summer and winter vacations. While the students work for their course during the semester, the inter-semester vacations are utilised for field work.
In this programme, a student has to earn a total of 36 credits. Of these, 9 credits are allocated to field-work and 27 credits are allocated to course work.
There are two types of courses-core courses and optional courses. The credit distribution is as follows:
Core Courses 14 credits
Optional Courses 13 credits
Assessment of Students and Grade System:
The Assessment of a student is based on the student’s term papers, and end-semester written examination and a viva-voce examination.
Course Outlines
The objective of the course structure of the MCH programme of studies is to expose the students to the core areas in the field of Community Health and then allow them to ventures out into specific areas in greater depth by selecting optional courses. The course title, credit allocation and the broad content of the core courses and the optional courses are as follows:
List of Courses
SM 620 Comparative Studies in Health 2 Cores No. Title Credits
SM 601 Community Health and Its 3
Organisation in India
SM 602 Epidemiology 3
SM 603 Health Services and the 2
Community
SM 604 Research Methodology 2
SM 605 Review of Current Issues 4
In Community Health
Optional Courses
SM 611 Population Problem and Family 3
Planning Programme in India
SM 612 Communicable Diseases 3
SM 613 Nutrition and Maternal and 3
Child Health
SM 614 Hospital Administration and 2
Medical Care Services in India
SM 615 Vital Statistics and Health 2
Information System
SM 616 Health Manpower Planning in India 2
SM 617 Health Planning and Health 2
Economics
SM 618 Community Health Nursing 3
Education and Administration
SM 619 Rural Health Services 2
Systems
SM 621 Operational Research and Systems 2
Analysis in Community Health
Research
SM 640 Workers Health in India 2
EDUCATION PROGRAMMES FOR SOCIAL SCIENTISTS
M. Phil. In Social Sciences in Community Health
The education and Training programmes for social scientists have been evolved with the idea of making social scientists more effective members of a health team. The effort is to widen their social science perspective through the prescribed courses. Apart from strengthening the understanding of their basis disciplines, these courses underline the need for an integrated approach in the field of applied social sciences and offer the student an opportunity to understand the problems of community health. Students with a Master’s degree in social sciences are eligible for admission to programme of study.
Eligibility for Admission:
The procedure for receiving applications, screening and selection of candidates
are being laid down by the University.
Duration of the Course and Credit Distribution
The course work shall be completed within the first two consecutive semesters and the whole M. Phil programme (including dissertation) within the first four consecutive semesters.
The course work and dissertation together carry total of 24 credits . Distribution of credits for various courses is as follows:
1. Core Courses 12 credits
2. Optional Course 6 credits
3. Dissertation 6 cridits
Evaluation of the Students:
The assessment of a student in Course work is based on the performance in Sessionals which include short written assignments. Term papers, an end Semester written examination and a viva-voce examination.
Course Outline
There are two types of Courses: Core Courses and Optional Courses. The Core Courses provide the students, the optimum content of the area of Social 9Sciences, their application to community health and also an extensive exposure to the area of community health. The optional courses are evolved to give the students an opportunity to carry but more in-depth work in their areas of interest and also to open up the possibility of the students going back to their parent disciplines if they so desire.
The course title, credit allocation and the broad content are given below:
List of Courses
Course No. Title Credits
SM 606 Research Methodology 2
SM 607 Social Science Issues in Community 2
Health
SM 608 Social Sciences. Towards and 2
Integrated Approach
SM 609 Review of the Current Issues in 3
Social Sciences in Health
SM 610 Community Health and Its 3
Organisation in India
SM 622 Application of Anthropology in Health ` 2
SM 623 Application of Sociology in Health 2
SM 624 Communication and Health 2
SM 625 Current Trends in Sociology 2
SM 626 Women and Health 2
SM 627 Social Psychology and National 2
Development Programmes
SM 629 Environment and Health 2
SM 630 Psychology in Community Health 2
SM 631 Education and Training of Health 2
Workers
SM 632 Political Economy of Health 2
SM 633 Social Cultural Anthropology and 2
National Development Programmes
SM 634 Health Education 2
Dissertation
To dissertation carries 6 credits of the twenty-four credits assigned to the M. Phil. Degree. In the dissertation the student is expected to do research work under the supervision of a faculty advisor on a topic approved by the faculty.
Ph. D. Programme for Doctors, Nurses and Social Scientists
Candidates who have successfully completed M. Phil. Or MCH programmes with a cummulative grade of B Plus are considered for admission to the Ph. D. Programme. In exceptional cases direct provisional admission to Ph. D. Programme is given. These students have to complete successfully the courses prescribed for the M. Phil. Or MCH Programmes before they are confirmed for Ph. D. Programme and allowed to carry out their research work.
THRUST AREAS AND PERSPECTIVE PLANS
The Centre is poised to take up new challenges in the late nineties as public health has emerged as an important area of research at the national and international level. The following are the thrust areas of the Centre:
-Health service systems research;
-Epidemiology of diseases with special reference to communicable diseases, their resurgence and new epidemics;
-Quantitative epidemiology;
Name and designation of faculty members along with areas of research:
Imrana Qadeer Professor Primary Health Care, Epidemiological
Studies Health Policy Analysis.
Ghanshyam Shah Professor Studies on Dalit Movements, Policies of Health, Urban Studies.
Mohan Rao Associate Professor Studies on Family Planning, Political
Economy of Health, History of Health.
K.R. Nayar Associate Professor Environmental Health, Panchayati Raj
And Restructuring of health Care.
Rama V. Baru Associate Professor Privatisation and Health Care.
Ritu Priya Assistant Professor Urban Health, Communicable Diseases
Including AIDS.
Sanghmitra Acharya Assistant Professor
Alpana D. Sagar Assistant Professor
Curriculum Vitae of Faculty Members
Dr. Imrana Qadeer, M.B.B.S. M.D.
Academic Experience Professor, Centre of Social Medicine and Community
Health.
School of Social Sciences, Jawaharlal Nehru University
New Delhi since 1994.
Associate Professor-1985-94.
Assistant Professor-1971-1985.
Registrar in Clinical Pediatrics from 1968-71.
Qualifications M.B.B.S. 1964.
M.D. (Pediatrics) 1968.
Research Projects 1. " Study of the Community Health Worker Scheme :
District Shahdol, (M.P.)" 1980-81, Indian Council of
Social Science Research
2. Safety of Agricultural implements: An epidemological
Exploration of Morbidity Patterns with Specific Focus
On Agricultural Injuries. In Collaboration with
Prof. D. Mohan of Bio-Engineering Dept. IIT
Council of Advancement of Rural Technology.
3: Prevention of Disabilities among Agricultural
Workers. In collaboration with Prof. D. Mohan of
Bio-Engineering Dept., IIT (1989-92), Ministry
of Welfare.
Research Consultancy 1. Consultant DANIDA for District Health
Project, ‘ Strengthening Health Care and Family
Welfare in Seven Districts in Madhya Pradesh’,
DANIDA, 1979,October.
2. Consultant (Community Health) INTACH Project
on Comprehensive Development Planning for the
city of Leh. 1989, Government of Jammu &
Kashmir.
3. Consultant to UNFPA for Country Programme in
India 1994-99.
Present Membership of Member, Board of the Advisors: People’s Science
Academic Bodies and Institute, Dehradun.
Institutions
Member, WHO Collaborating Centre for Research
and Training in Safety Technology at the Centre
for Bio-Medical Engineering, IIT, New Delhi.
Member, Expert Committee of DST on Science
and Technology for Women.
Member, Board of Advisors of ‘Lokayan.’
Member, Centre for Health Studies, TISS.
Member, Central Council for Health and Family
Welfare, Govt. of India.
Past Membership of Academic Member Advisory Committee for MCH Services
Bodies and Institutions Dept. of Family Welfare.
Member and Organising Secretary to the
Medical Section (Asia Group) of International
Academy of Science.
Member Editorial Board of Health and
Population Perspectives and Issues;
Journal of National Institute of Health
and Family Welfare.
Member Editorial Board of Socialist Health
Member, Consultation Committee of Dept. of
Sciences.
Member, Consultation Committee of Dept. of Science and Technology (DST) on Plant-based Health Systems.
Member, Coordination Committee on NGO’s Involvement in Family Welfare, Ministry of Health and Family Welfare, 1989.
Papers Prescribed at Some Important Conferences
World Sociological Congress, New Delhi, 1986.
International Conference on Injury Prevention, Atlanta, VS 1993.
International Conference on Population Policy Comila, Bangladesh 1993.
International Conference on World Development Report 1993, Investing for Health and Family Welfare in India in Health Implications, New Delhi, 1994.
UN Conference on Population and Development, Cairo 1994.
International Conference on Structural Adjustment Policies and Primary Health Care in South Asia-1997.
Conference on Health System Research Cambridge, Cambridge, England-1998.
Some Selected Publications
Qadeer,I. (1978): India’s Feeding Programme and their Relevance, Social Sciences and Medicine. Vol. 12, pp. 23-27.
Qadeer, I. (1980): Limitation of another development in Health, Social Scientist No.91,p.21-37. (Trivandrum).
Qadeer, I. 1984): Dynamic of People’s Health in People’s Hand-A Study of the CHW Scheme in Madhya Pradesh, Socialist Health Review.
Qadeer, I. (1985): Health System and Socio-Economic Inequalities. Social Action No. 3, Vol. 35, pp. 199-223.
Qadeer, I.( 1985): A Review of Population Policy and Compulsions in Family Planning ,Journal of International Studies, 1988, Vol. 25,pp.86-91.
Qadeer, I. (1986): Policies of Primary Health Care, Radical Journal of Health September.
Qadeer, I.(1987): Social Roots of Ill-Health , Health for the Millions, Vol. 13, Nos. 5 & 6.
Qadeer, I. (1987): The Social-Political Dimension: Radical Journal of Health, Vol. 2, No.3,pp. 60-62.
Qadeer, I. (1987): Giving Public Health Services more than their due. EPW, July 1987, page 1187.
Qadeer,I.(1988): Injuries Sustained to Women and Children in Agricultural Activities in India Paper Presented at the 12th Asian Conference on Occupational Health, Bombay, November.
Qadeer,I.(1989): Injuries in Agricultural Activities. Ind. J. Rural Tech. No.1, pp.71-81,1989.
Qadeer,I.(1990): Beyond Medicine: An Analysis of Health Status of India People. Think India No. 1,pp. 93-107.
Qadeer,I. (1991): The Outreach of Modern Medicine: A Case Study from Shahdol, Indian International Centre Quarterly, Vol 18,Nos.2 & 3 , pp.217-230.
Qadeer, I.(1991): Integrally Women, Health for the Million, Vol. 17, No. 5, pp.11-13.
Qadeer, I. (1993): Needing Some Rethinking on Population Policy, Kurukshetra,Annual No. pp.32-36.
Qadeer, I.(1994): The World Development Report 1993-The Brave New World of Primary Health Care, Social Scientist, Vol. 22, Nos. 9-12, pp. 27-39.
Qadeer, I.(1995): Health Services only for the rich, Public Interest Research Group. The State of India’s Economy 1994-95, Delhi Public Interest Research Group-pp. 77-82.
Qadeer, I.(1995): "Black Death, white lies", Seminar January, No. 425, pp. 83-88.
Qadeer,I.(1995): Primary Health Care: A Paradise Lost, IASSI Quarterly, Vol.14, Nos. 1-2 , July -December, pp. 1-20.
Qadeer, I.(1996): Women and Health, Political Environment , 4, Summer -Fall, pp. 1, 9-13.
Qadeer, I. (1997): Paralytic Poliomyelitis in Rural Area of North India, NMJI, Vol. 10, No. I, January-February, pp. 8-10.
Qadeer. I,(1997): Child Health Independence at Cross-Roads Mainstream, Vol. 35, No. 37 , August 23. Pp. 19-25.
Qadeer, I. (1998): Reproductive Health: A Public Health Perspective, Economic and Political Weekly, Vol. 33, No. 11, October 10, pp. 2675-2684.
Qadeer, I. (1998): Our Historical Legacy in MCH Prorammes. In Maithreyi Krishnaraj, Ratna M. Sudarshan, Abusaleh Shariff (ed.): Gender, Population and Development, Delhi Oxford University Press, pp. 267-229.
Name : SHAH GHANSHYAM SHANTILAL
Education : M.A. ( Political Science), MS University of Baroda-1962;
Ph. D., Political Sciences, Gujarat University-1971.
Present Position : Professor in Social Sciences, CSMCH, JNU, New Delhi.
Research Experience : 35 years-served at [1] MS University of Baroda; [2] National Institute of Community Development , Mussoorie; [3] Centre for the Study of Developing Societies, Delhi; and [4] Centre for Social Studies, Surat [5] LBS National Academy of Administration, Mussoorie.
Teaching Experience: [1] 5 years-Post-Graduate (1973-78). Taught at the Department of Public Administration, South Gujarat University, Surat; [2] 1 year (1978-79) Visiting Professor to the Department of Political Science, MS University of Baroda , taught Comparative Politics and Political Sociology; [3] 1 month (January-February 1983 ) Visiting Professor to the Department of Political Science, Banaras Hindu University, Varanasi, taught Indian Politics; [4] 4 months (March-June 1984) Visiting Professor to the Department of Political Movements in India; [5] Guiding Ph. D. students. Three students got Ph. D. [6] Conducted short courses on ‘ Research Methodology’ in 1977, 1978; ‘Survey Research’ in 1991’ ‘ Understanding Society: Method and Approaches’ in 1988; and Faculty Member in the course on ‘ Computer Applications in Social Sciences’ since 1983( the course is conducted every year by the CSS).
Publications
Books
1)Public Health and Urban Development : The Plague in Surat,
New Delhi: Sage Publications, 1997.
2)(Edited), Social Transformation: I.P. Desai Commemoration Volume. Jaipur
Rawat Publishers, 1997.
3) (Edited), Social Justice : A Dialogue. Jaipur: Rawat Publications, 1998.
4)(Edited), Capitalist Development in India: Critical Essays: A Volume in Honour of Prof. A.R. Desai. Bombay: Popular Prakashan,1990.
5) Economic Differentiations and Tribal Identity. Delhi Ajanta Books International 1984.
6) Social Movements in India : A Review of Literature . Delhi: Sage Publications. 1990.
7) (With HR Chaturvedi), Gandhian Approach to Rural Development. Delhi: Ajanta Books International, 1983.
8) Minorities and Nation Building : A Case of Muslims and Scheduled Tribes in India. Varanasi: Banaras Hindu University ,1983.
11)Politics of Scheduled Castes and Tribes. Bombay: Vora Publishing House . 1975.
12)Series Editor (with Zoya Hasan and Kuldeep Mathur) on series on Indian Government and Politics, being published by Sage, New Delhi.
Articles/ Papers
(Does not include book reviews, newspaper articles and Gujarati Publications).
1) ‘The BJP’s Riddle in Gujarat: Caste, factionalismand Hindutva’ in The BJP and the Compulsions of Politics in India, (ed.) Hasen and Jaffrelot, Delhi: Oxford University Press, 1998.
9)‘Doctors and the Plague’, Issues in Medical Ethics, 4 (4), October-December, 1996.
10)‘Diseases, Doctors and Urban Public Health System’, IASSI Quarterly, Vol. 14 (1-2) July-December 1995.
11)(With Rajni Kothari). ‘Caste Orientation of Political Factions: Modasa Constitutency: A Case Study’. The Economic Weekly, Special Number, July 1963, Reprinted in Indian Voting Behaviour . Edited by Myron Weiner and Rajni Kothari. Calcutta: Firma KL Mukhopadhyay. 1965; In Party System and Election Studies. Edited by Centre for Social Studies. Delhi: Allied Publishers,1967; In Asian Political System-Reading on China, Japan, India and Pakistan. Edited by Betty B Burch and Allan B Cole D. Princeton: Vannostrand Company.1968.
12)‘ Water Works in the Politics of Village Kalai’. In Politics of a Peri-Urban Community. Edited by AH Somjee. Bombay: Asia Publishing House.1964.
13)‘Communal Riots in Gujarat’. Economic and Political Weekly, 5(3,4&5) , Annual Number, January, 1970.
14)(With HR Chatuvedi), ‘Fusion and Fission of Castes in Elections: A Case Study of Chhata, UP’. Economic and Political Weekly, 5(40), 3 October 1970.
15)‘Growth of Group Identity among the Adivasis of Dangs’. Journal of the Gujarat Research Society, 34(1), April 1972.
16)‘Voting Behaviour of Adivasi and Harijan Leaders: A Study of the 1971 Elections’. The Indian Journal of Political Science, 33(4), October-December,1972.
17)‘Gap Between Representatives and Constitutes: An Aspect of Tribal in Gujarat’. Economic and Political Weekly, 7(31-33), Special Number, August,1973.
18)‘Integration through Political Participation : A Study of Adivasi and Harijan Leaders in Gujarat’. ICSSR Research Abstracts Quarterly, 3(2&3), January-April 1974.
19)‘Anatomy of Urban Riots: Ahmedabad 1973’. Economic and Political Weekly, 9(6,7&8), Annual Number, 1974.
20)‘The Upsurge in Gujarat’. Economic and Political Weekly, 9(32-34),Special Number ,1974.
21)‘Traditional Society and Political Mobilisation: The Experience of Barodi Satyagraha in India -1920-28’. Contributions to Indian Sociology, 8,1974.
22)‘The City and Slums’. In Urbanisation in India and Gujarat. Edited by Tara Patel. Ahmedabad: Gujarat University.1975.
23)‘1975 Gujarat Assembly Election in India’. Asian Survey, 14(3) March,1976.
24)‘Revolution, Reform and Protest: A Study of Bihar Movement’ (in three parts). Economic and Political Weekly, 9, (16 & 23) April 1977.
25)‘Gandhian Approach to Rural Development’. Ideas and Action ,125, 1978.
26)‘Direct Action in India : A Study of Gujarat and Bihar Agitations’. In Contributions to Asian Studies, Rethinking in Political Development. Edited by A.H.Somjee. Leiden: E.J.Brill. 1979.
27)‘Ideology of Jayaprakash Narayan’. Economic and Political Weekly, 14(9), 3 March 1979.
28)‘Anti-Untouchability Movements’. In Removal of Untouchability. Edited by Vimal Shah. Ahmedabad: Gujarat University. 1980.
29)‘Rural Politics in Gujarat’. In Land. Caste and Politics. Edited by Gail Omvedt. Delhi: Authors Guild Publications. 1980.
30)‘Politics of Scheduled Castes and Scheduled Tribes’. A Survey of Research in Political Science: Political Dynamics,3, New Delhi: Allied Publishers. 1981.
31)‘Decentralized Planning in a Centralized Economy: A Study of Sarvodaya Programme in a Taluk’. In Rural South Asia: Linkages, Change and Development. Edited by P.G. Robb. London: Curzon Press. 1983.
32)‘Socio-Economic Stratification and Politics in Rural Gujarat’. In Gujarat Economy: Problems and Prospects. Edited by D.T.Lakdawala. Ahmedabad: Sardar Patel Institute of Economic and Social Research ,1983.
33)‘The 1969 Communal Riots in Ahmedabad: A Case Study’. In Communal Violence in India. Edited by Asghar Ali Engineer. Bombay: Orient Longman. 1984.
34)‘Caste , Class and Reservation’, Economic and Political Weekly, 20(3), January 19, 1985; Reprinted in Dynamics of Reservation Policy. Edited by Hamukh Patel. New Delhi: Patriot Publications. 1985.
35)‘Caste in Contemporary India Today’. Mainstream. 22(28), 10 March 1984, Reprinted in Caste, Class and Reservation. Edited by Centre for Social Studies. Delhi: Ajanta. 1985.
36)‘A Profile of Education among the Scheduled Tribe in Gujarat. Tribal Education in Gujarat. Edited by Centre for Social Studies. New Delhi. Ajanta . 19815.
37)‘Tribal Identity and Class Differentiations’.Economic and Political Weekly, Annual Number, February 1979. Reprinted in Caste, Class and Reservation. Edited by Centre for So;cial Studies. Delhi: Ajanta. 19185.
38)‘Prof. A.R.Desai. Biographical Dictionary of Neo-Marxism. USA: Greenwood’s Press. 1985.
39)‘Middle Class Politics: Case of Anti-Reservation Agitation in Gujarat’. Economic and Political Weekly, 22(19-21), May 1987.
40)(With John D’Souza), Young India Project: An Evaluation, Penukonda: Young India Project. 1987.
41)‘Grassroots Mobilization in Indian Politics’. In India’s Democracy: An Analysis of Changing State-Society Relations. Edited by Atul Kohli. Princeton: Princeton University Press. 1988.
42)‘Kheduts in Gujarat’. Seminar, 352 December 1988.
43)‘Congress and the Deprived Communities’. In Congress in Indian Politics: A Century Perspective. Edited by Ram Joshi and R.K.Hebsur. Bombay: Popular Prakashan. 1988.
44)‘Caste Sentiments, Class Formation and Dominance in Gujarat’. In Caste, Class and Dominance. Edited by F. Frankel and MSA Rao. Delhi: Oxford University Press. 1989.
45)‘Panchayati Raj and Weaker Sections’. In Revival of Panchayati Raj: Trends and Problems. Edited by B.C,Shah and J.N. Pandya. Vallbh Vidyanagar: Sardar Patel University. 1989.
46)‘Ethnicity and Politics: A Study of Scheduled Tribes in Gujarat’. Indian Journal of Social Sciences. 2(1) January-March 1989.
47)‘Agitation in Gujarat’. Seminar, 375, November 1990.
48)‘Caste, Class and State’. Seminar, 367, March 1990.
49)‘Introduction: Indian Capitalism’. In Capitalist Development: Critical Essays . Edited by Ghanshyam Shah, Bombay: Popular Prakashan, 1990.
50)‘The Bourgeoisie Party and Deprived Communities’. In Capitalist Development: Critical Essays. Edited by Ghanshyam Shah. Bombay: Popular Prakashan , 1990.
51)‘ Dalit Movements and the Search for Identity’. Social Action, October-December 1990.
52)‘Strategies of Social Engineering: Reservation and Mobility of Backward Communities of Gujarat’. In Diversity and Dominance in Indian Politics. Edited by Ramashray Roy and Richard Sission. Delhi: Sage Publishers 1990.
53)‘Reservation: Promise and Performance’. Bulletin, Madras Development Seminar Series, 15(5& 6), May-June 1990.
54)‘ Migrant Agricultural Labourers’. National Seminar on Agricultural Labour , Ministry of Labour, Delhi, March 1990.
55)‘Social Backwardness and Politics of Reservations’. Economic and Political Weekly, 26 (12 & 13), March 1991.
56)‘10th Lok Sabha Elections and The BJP’s Victory in Gujarat’. Economic and Political Weekly, 26 (51), December 12, 1991.
57)(With Others), ‘Migrant Labour’. In Report of the National Commision on Rural Labour. New Delhi: Government of India, Ministry of Labour, 1991.
58)‘Liberalism, Democracy and R4eligion: A Critique’. In Secularism in India. Edited by M.S. Gore. Allahabad: Academy of Social Sciences, 1991.
59)‘Protests by the Rural Poor’. In Images of Rural India in the Twentieth Century. Edited by Peter Bumke. New Delhi: Sterling Publishing Private Limited, 1992.
60)‘Development, New Economic Policy and the Deprived Communities’. Man and Development, 15 (1) , March 1993.
61)‘Of Reservation, Merit and Distributive Justice’. Economic and Polical Weekly, April 10, 1993.
62)‘Surat 1993’. Seminar, 411, November 1993.
63)‘Identity, Communal Consciousness and Politics’. Economic and Political Weekly, 29 (19), May 7, 1994.
64)‘The BJP and The Backward Castes in Gujarat’. South Asia Bulletin, 1994.
65)‘The Prime Ministers and Weaker Section’. In Prime Ministers in India. Edited by James Manor. London: Christopher Hurst and Co., 1994.
Editorial
Editor- Arthat, Centre for Social Studies, Surat-Gujarati Quarterly-since 1981.
Editorial Consultant-Vigil India, Bangalore ( 1978- ),
Sociological Bulletin (1979-81);
ICSSR Journal of Abstracts and Reviews: Political Science: (1984-86).
Awards and Prizes
1] Hari Om Ashram Prerit Bhaikaka Inter University Smarak Trust’ Prize:
2] Hari Om Ashram Prerit Shri Chunilal Vajeram Reshamwala Trust Award’ (1974-78) for outstanding research work;
3] Full-bright Award under the United States Educational Foundation in India for the year 1984;
4] Award of VKRV Rao Prizes in Political Sciences Research for 1979-80;
5] UGC National Lecturer for the year 1985-86.
6 Swami Parvananda Award 1998
Ph. D. Guided 5 students.
M.Phil. Guided 2 students
International Seminars/ Visiting Fellow/ Delegation
1. Visiting Fellow, Centre For Asian Studies, University of Amsterdam , June- Sept. 1995
organised by Fundacao Oriente, at Lisbon in June 1998. Presented a paper on " Poverty in India."
Name : Mohan Rao
Address : No. 1331, Poorvanchal,
Jawaharlal Nehru University, New Delhi 110 067,
India
Telephone : 91-11-6196631
Telephone/Fax : : 91-11-6196630
e-mail : mohan@jnuniv.ernet.in
Academic Qualifications
Thesis entitled "An Investigation Into The Differential Behaviour of Economic Classes in Relation To The Family Planning Programme in Mandya District, Karnataka", Jawaharlal Nehru University, New Delhi, 1995.
Work Experience
Current designation: Associate Professor.
Field Experience
Publications
(Edited), Disinvesting in Health: The World Bank’s Prescriptions for Health, SAGE, New Delhi, 1999.
1. "Women and Health in India", Health Monitor, vol.1, No.3, June 1989.
2. "The Indian Family Planning Programme - A Retrospective",in the anthology Papers and Proceedings : Third All India People’s Science Congress, published by the Karnataka Rajya Vijnana Parishat, Indian Institute of Science, Bangalore, 1990.
3. "The Indian Family Planning Programme", Health Monitor, Vol.3, No.1,February 1991.
4. "Health Care", Unit in Rural Social Services 2, School of Continuing Education, Indira Gandhi National Open University, 1991.
5. "Cholera and the Post Modern World", Economic and Political Weekly, Vol.XXVII, No.34, August 22nd, 1992.
6. "The Communalisation of Population Growth", Health For the Millions, Vol.1, No.1, February 1993.
7. "Voices From The Wilderness", Voices, Vol.1, No.2, 1993.
8. "The Family Planning Programme in India - A Critique", in the Madhyam Communications, Bangalore, "Report on the Workshop on Population, Family Planning and Women’s Health" prepared for UNFPA, 1993.
9. "An Imagined Reality: Malthusianism, Neo-Malthusianism and the Population Myth", Economic and Political Weekly, Vol.XXIX, No.5, 29th January, 1994.
10. "The Brave New World Has Arrived", Health For the Millions, Vol.2, No.1, February 1994.
11. "Plague: The Fourth Horseman", Economic and Political Weekly, Vol.XXIX, No.42, October 15th, 1994.
12. "The Writing on the Wall: Structural Adjustment Programme and the World Development Report 1993 - Implications for Family Planning in India", Social Scientist, Vol.22, Nos.9 - 12, September-December 1994.
13. "Policies That Make Countries Sick", Health Action, Vol.8, No.3, March 1995.
14. "SAPping the Health of the Poor", Health for the Millions, Vol. 21, No.2, March-April 1995.
15. First author: "Health and Structural Adjustment: Major Shifts at Policy Level", Economic and Political Weekly, Vol.XXX, No.20, 20th May, 1995.
16. "Is Family Planning Empowering or Coercive?", IASSI Quarterly, Vol.14, Nos.1-2, July-December 1995.
17. "India’s Augean Stables: The Unfinished Health Agenda", Institute of Social Studies Trust, New Delhi, Occassional Paper No.3/96, March 1996.
18. "The Wrong Diagnosis: The World Bank’s Prescription for India’s Family Welfare Programme", Political Environments, Massachusets, Vol. III, Spring 1996.
19. " The Chimaera of a Muslim Population Growth Rate", Health for the Millions, Vol.22, No.1, Jan-Feb 1996.
20. "Some Reflections on Field Work", Medico-Friend Circle Bulletin, Nos.232-233, July-August, 1996.
21. "An Epidemiological Triage", Health For the Millions, Vol.22, No.5, Sep-Oct 1996.
22. "Reproductive Health in India’s Primary Health Care System", The National Medical Journal of India, Vol.10, No.3, May-June 1997.
23. " Myths of the Reproductive Profligacy of the Poor: Evidence from Mandya District", Economic and Political Weekly, Vol.XXXII, No.25, 21st June 1997.
24. "Neo-Eugenics: The Quinacrine Sterilisation of Women in India", Women’s Link, Vol.III, No.3, July-Sep 1997.
25. "Surreptitious Sterilisations", Health for the Millions, Vol.23, N0.4, July-Aug 1997.
28. "State Intervention in Health Care: The Case of India", in Privatisation, Quality and Rights: Health Care Issues in Asia and the Pacific, Consumers International, Penang,1998.
29. "The Gordian Knot: Reproductive Health in the Context of India’s Delayed Health and Fertility Transitions", in the monograph The Place of Reproductive Health in India’s Primary Health Care, CSMCH , September 1998.
1. "Women and Health in India", The Deccan Herald, Bangalore, 15th April, 1989.
2. "Communal Propaganda and Population Growth: The Power of Myths", The Deccan Herald, Bangalore, 25th December, 1992.
3. "Perpetrating a Fertility Fallacy", The Economic Times, New Delhi, 25th January, 1993.
4. "Not Born of Faith", The Telegraph, Calcutta, 9th November, 1993.
5. "Fearful Effects of Social Darwinism", The Times of India, New Delhi, 10th March 1994.
6. "Can Reforms Have a Human Face?", The Sunday Times, New Delhi, 12th March 1995.
7. "Waiting in Vain for Public Health Day", The Times of India, New Delhi, 7th April 1995.
8. "Development is the Best Contraceptive", The Times of India, New Delhi, 3rd August 1995.
9. "The Family Planning Mess", The Pioneer, New Delhi, 20th January 1996.
10. "SAP Affects Health Care", The Pioneer, New Delhi, 17th February 1996.
11. "Controlling Population", The Pioneer, New Delhi, 2nd March 1996.
1. "A New Vision of the Health Worker’s Role", Review of Sathyamala C. et al, Taking Sides: The Choices Before the Health Worker, ANITRA, Madras, 1988, in Economic and Political Weekly, Vol.XXIV, No.8, 27th February, 1988.
2. "Sanitised Health", Review of Roger Jeffrey, The Politics of Health in India, University of California Press, 1988, in Economic and Political Weekly, Vol.XXVI, No. 38, September 15th, 1990.
3. "The Stygean Dip: History of Cleanliness in France", Review of George Vigarello, Concepts of Cleanliness: Changing Attitudes in France Since the Middle Ages, Cambridge University Press, 1990, in Economic and Political Weekly, Vol.XXVI, No.34, 24th August, 1991.
4. "Disease and Medical Myths in Medieval Europe", Review of Carlo M.Cipolla, Miasmas and Disease: Public Health and the Environment in the Pre-Industrial Age, Yale University Press, 1992, in Economic and Political Weekly, Vol.XXVIII, No.5, February 6th, 1993.
5. Review of Sud S.L., Marital Power Structure, Fertility and Family Planning in India, Radiant Publishers, 1991, in International Studies, Vol.30, No.3, July-September 1993.
6. Review of The World Bank, World Development Report 1993:Investing in Health, Oxford University Press, 1993, in Health For The Millions, Vol.2, No.1, February 1994.
7. "Colonialism, Orientalism and Epidemic Disease in India", Review of David Arnold, Colonizing the Body: State Medicine and Epidemic Disease in Nineteenth Century India, O.U.P., Delhi,1993, in The Book Review, Vol.XVIII, No.9, September 1994.
8. "The Fourth Horseman", Review of Mark Harrison, Public Health in British India: Anglo-Indian Preventive Medicine 1859 - 1914, Cambridge University Press, Cambridge, 1994, in The Book Review, Vol.XVIII, No.11, November 1994.
9. Review of Terence Ranger and Paul Slack (Editors), Epidemics and Ideas: Essays on the Historical Perception of Diseases, Cambridge University Press, 1992, in Population Studies, Vol.48, No.3, November 1994.
10. Review of Saroj Pachauri (Edited), Reaching India’s Poor: Non-Governmental Approaches to Community Health, Sage Publications, New Delhi, 1994, in Seminar, 428, April 1995.
11. "The Horror Without...",Review of Feisal Alkazi et al, The Danger Within, PRIA, New Delhi, 1995, in The Book Review, Vol.XIX, No.11, November 1995.
12. "Macabre Game of Numbers", Review of Srinivasan K., Regulating Reproduction in India’s Population: Efforts, Results and Recommendations, Sage, New Delhi 1995, in South Indian Studies, Vol.1, No.2, July-December 1996.
13. Review of Tulsi Patel, Fertility Behaviour: Population and Society in a Rajasthan Village, OUP, Delhi, 1994, in Indian Journal of Gender Studies, Vol.4, No.1, 1997.
14. "Fetishistic Celebration", Review of Roger Jeffery and Alaka M.Basu (Ed), Girl’s Schooling, Women’s Autonomy and Fertility Change in South Asia, Sage, New Delhi, 1996 in Economic and Political Weekly, Vol.XXXII, No.43, October 25th-31, 1997.
15. "The Kerala Conundrum", Review of Zachariah K.C. et al, Demographic Transition in Kerala in the 1980s, CDS, Thiruvananthapuram, 1994, in South Indian Studies, No.3, Jan-June 1997.
1. "Nurturing Myths", Review of Indian Society of Health Administrators, Health of the Metropolis: Bangalore, The Deccan Herald, Bangalore, 2nd September, 1990.
2. "The Empire of Disease", Review of David Arnold (Editor), Imperial Medicine and Indigenous Societies, Oxford University Press, 1989, in The Economic Times, New Delhi, 18th August 1991.
3. "Ambitious But Disappointing", Review of Poonam Bala, Imperialism and Medicine in Bengal: A Socio-Historical Perspective, Sage, 1991, in The Economic Times, New Delhi, 12th January, 1992.
4. "Demolishing Myths About Health", Review of Sathyamala C. et al, Taking Sides: Issues in Social Medicine and Community Health, ANITRA, 1993, The Deccan Herald, Bangalore, 4th July, 1993.
Course Evolved
Research Guidance of M.Phil Dissertations
1. Mr.N.Nakkeeran, "Family Formation and Fertility Change: An Anthropological Enquiry", in association with Dr.S.K.Sahu.
2. Ms.Saiga Sukumar, "An Enquiry Into The Role of the Status of Women in Kerala’s Demographic Transition", in association with Dr.K.R.Nayar.
3. Mr.Mohammed Shamsad Khan, "Medicine, Health and the Nationalist Discourse, 1937-1947", in association with Dr.Neeladri Bhattacharya.
4. Ms.Suneet Singh, " Feminist Anthropology and Family Formation: A Preliminary Enquiry".
5. Mr.John Smith, "The Basic Science of Public Health: The Theory and Practise of Modern Epidemiology and the Population Perspective on Health and Disease", in association with Dr.Imrana Qadeer.
6. Ms.U.Gowri, "Women’s Health in the Informal Sector: A Preliminary Enquiry".
7. Mr.Vijay Kumar Yadavendu, "Interdisciplinary Approach to Health: An Exploration into the Role of Social Psychology", in association with Dr.K.R.Nayar.
8. Ms.Y.K.Sandhya, "A Sociological Analysis of the North-South Differentials in the Sex Ratios in India: A Preliminary Analysis".
Special Lectures Delivered
1. The Ramanatham Memorial Lecture organised by the P.U.D.R.,"The Politics of Health in India" 2nd September 1989.
2. Y.W.C.A. Annual Meeting, "Women and Health in India", 14th September 1990.
3. Indian Social Institute, New Delhi, "Women and Health in India : A Perspective", 2nd December 1993.
4. Academic Staff College, New Delhi, " The Evolution of Health and Family Welfare Services in India: Issues of Access", 10th November, 1995.
7. Lal Bahadur Shastri National Academy of Administrators, Mussorie, "New Initiatives in Health Care: Some Issues", 12th October 1998.
Other Academic Activities
1. Technical assistance with research design to Dr.Sathyamala C. and Dr.Nitish Vohra for the study of Bhopal gas victims, Against All Odds: Continuing Effects of the Toxic Gases on the Health Status of the Surviving Population in Bhopal, 1989.
2. Organising Secretary of the National Seminar organised by the Centre of Social Medicine and Community Health entitled "World Development Report 1993: Investing in Health - Implications for Health and Family Welfare in India", December 1994 and of the National Workshop "The Place of Reproductive Health in India’s Primary Health Care", November 1996.
5. Selection panel for Scientist (Lecturer Grade) at NISTADS, New Delhi; M.Phil examiner at the Delhi School of Economics.
19.Chair of the Centre of Social Medicine and Community Health for two years.
10.Visiting Fellow, Queen Elizabeth House, Oxford University, Trinity Term, 1999.
1. Executive Committee, The Delhi Science Forum.
Name K.R. Nayar
Address 1448, Poorvanchal, J.N.U, New Delhi 110 067
Academic Position Faculty member
Centre of Social Medicine and Community Health 1985 onwards
Present Position Associate Professor
Previous experience Research Officer
Indian Council of Medical Research 1983-1985
Academic Qualifications M.A.
Master of Community Health , M.C.H J.N.U (1979) Ph.D J.N.U (1984)
Research Supervision
i) Ph.D
Awarded 3
Ongoing 8
Submitted 2
Awarded 22
Ongoing 2
Publications
Books
Ecology and Health: A Systems Approach. New Delhi: APH Publishing Corporation, 1998.
Papers and Articles
Disinvesting in Health: The World Bank’s Prescriptions for Health. New Delhi:
Sage, 1999, pp.165-173
List of recent conferences attended
Other academic activities
.
Name : Rama Vaidyanathan Baru
Designation Associate Professor
Academic Qualifications:
Title of M. Phil.- " Factors Influencing Variations in Health Services: A Study of Selected Districts of Andhra Pradesh".
Title of Ph. D. Thesis-" Some Aspects of the Private Sector in Medical Care and Its Inter relationship with the Public Sector: A Study of Hyderabad-Secunderabad".
Qualified for the Junior Research Fellowship Award by the University Grants Commission in 1989.
Professional Experience:
Seminars/Conferences Attended
Research Project and Other Activities
Name : Ritu Priya
Address : Centre of Social Medicine and Community Health
Jawaharlal Nehru University, New Delhi 110067.
Current Designation : Assistant Professor
Major Areas of Interest
Academic Qualifications:
Graduate from medical college in 1982, Lady Hardinge Medical College, University of Delhi.
Work Experience:
Training and Survey with NGO Workers:
Informal involvement with several NGOs, some of it being:
Survey of amniocentesis sex detection facilities in Delhi and Amritsar in
Some Published Articles.
Papers Presented at Conferences / Workshop / Seminars:
Research Guidance
Abstracts of Few Articles of Faculty Members
Prof. Imrana Qadeer
This paper examines the present crisis of Primary Health Care and takes communicable diseases as an example of alternative thinking in public health.
2. The World Development Report 1993: The Brave New World of Primary Health Care. Social Scientist, Vol.22 No.9-12, Sept. – Dec.1994, p. 2-39.
This article looks at the evolution of the concept of Primary Health Care and its links with international interests. It traces the shifts that have occurred over the years in India's commitment to comprehensive primary health care and the major actors that have guided these shifts. It examines what could be described as the dualism in India’s plans to build the health sector. It also examines the World Bank’s interventions in health which enforce a disjunction between the various components of public health thus profoundly undermining it. The paper also draws attention to some serious methodological problems with the report.
3. Paralytic Poliomyelitis in a rural area of north India, The National Medical Journal of India, Vol.10, No.1, Jan.-Feb.1997, p.8-10.
Background. Paralysis due to poliomyelitis is common in rural areas. The extent of paralysis, type and place of treatment and effect of local treatment on children with poliomyelitis was assessed in a house-to-house survey conducted between 1990 and 1991 in a rural area of north India.
Method. Trained field workers conducted a house-to-house survey in 9 villages of Haryana with a total population of 22 883. All cases of deformity and muscular weakness unsuspected to be due to poliomyelitis were examined and details regarding immunization, diagnosis, treatment and follow up were recorded. The late consequences of neglect as well as inappropriate medical advice were also assessed by physical examination and directed questioning of the parents.
Results. Thirty-seven cases of paralytic poliomyelitis were identified indicating a prevalence rate of 1.6 per 1000 population. Of these , 97% were paralysed before they were 2 years old and 60% had a history of intramuscular injections preceding paralysis. Only 14% of them had received either partial or complete immunization. The majority of families preferred to take treatment from traditional healers or in city hospitals but not from primary health centres.
Conclusion. Despite the national immunization programme, paralytic poliomyelitis continues to be a significant problem in the villages surveyed. Primary health centres are an unreliable source of epidemiological data for paralytic poliomyelitis as villagers do not prefer to visit them for treatment of the disease. Injections given for treatment of fevers in rural areas may play a role in precipitating paralytic poliomyelitis. These findings highlight the urgency of a broad-based primary health care approach at primary health centres. Traditional healers and private practitioners should be trained to provide physio-therapy to children with polio and educated about the importance of not giving injections to children with minor fevers.
4. Child health : Independence at crossroads. Mainstream, Vol.35, No.37, Aug.23, 1997, p. 19-25.
This paper examines the demographic trends in children’s health status after independence, along with gender differentials and regional variations in this regards. It also examines the various governmental efforts taken to improve children’s status, the socio-political forces behind these efforts and their consequences.
5. Reproductive Health: A Public Health Perspective. Economic and Political Weekly, Vol.33, No.11, Oct. 10, p.2675-2684.
This article examines the concept of reproductive health as it emerged in the 1980s, its consequences for health research and family planning programmes in India, its advocacy for the third world agenda and the reasons behind it, its epidemiological basis, and offers an alternative public health perspective for understanding reproductive health.
6. Our historical legacy in MCH programmes. In Gender, Population and Development by Maithreyi Krishnaraj, R.M. Sudarshan and A Shariff (eds). Delhi: Oxford University Press, 1998, 267-90.
In the first part of this paper the author explores the historical reasons which led to the emergence of modern maternity services in British India. It agrees that the structure and content of the services were determined by the social pressures that created it. In the second part it examines the evolution and re-definition of maternity services in independent India. The third part looks at the nineties, and shows that the State shifts to yet another definition of maternity health as a means of achieving a different objective, central to the survival of the ruling classes.
Prof. Ghanshyam Shah
1. Public Health and Urban Development. The Plague in Surat, New Delhi: Sage Publication, 1997, Page 317.
The outbreak of a deadly infectious disease (widely believed to be the plague) which gripped Surat ( India’s twelfth largest city) in 1994, created wide spread panic not just in the country but throughout the world. Through the disease was controlled within a week, it has raised many fundamental and still unresolved issues covering the state of the public health system and the path of urban development in India. This remarkable study treats the Surat episode as a symptom of a socio-political disease related to the value system of the populace, the top sided nature of development, the crisis in governance and a fragile and fragmented civil society.
Ghanshyam Shah first outlines the pattern of Surat’s growth, the government’s resources and the state of its municiple services. Against this background, he charts the outbreak and spread of the disease, analysis the socio-economic background of the victims; describes the perceptions of and response to the crisis of different strata of society; outlines the way local communities respond to the situation based on primordial loyalities such as kingship and caste; and describes the mechanisms that were evolved to cope with the crisis. In conclusion, he draws lessons from the Surat experience to suggest suitable policies for minimising the recurrence of such deadly diseases.
In this book author made an analysis of upsinges in Gujarat and Bihar during 1974 –75. It examines the nature of two agitations, issues raised in the course of agitations, identification of the actors and the participants and then role etc. all those analysis are directed at understanding the concept of " total revolution".
3. The Prime Minister and the ‘Weaker Section of Society’. In Nehru to the Nineties. The changing office of Prime Minister in India. By James Mauor (ed.). London. Hinst a company. 1994, page 230-256.
The Prime Minister in India is de facto read of the executive. The Prime Minister enjoys de jure and defacto power by virtue of his/her office in deciding destiny of the country. But the Prime Minister is not a despot. Socio-economically dominant forces which are close to the corridors of power try to influence decisions of Prime Ministers in favour of proferted classes. In such a situation, what power has the Prime Minister wielded and what strategies has she/he evoked to protect and advance the interests of the ‘weaker sections.’ This article examines the perspective and approaches of different Prime Ministers to the problems of the weaker sections , and the programmes formulated under their leadership to mitigate poverty.
This article argues that comparatively title has changed in Prime Minister’s approaches to the ‘weaker sections’ of the society. Despite plenty of rhetoric and anti-poverty programmes, the poor have not made significant gains.
4. Social Movements in India. A review of the literature. New Delhi; Sage Publications. 1990, page 222.
Social movements primarily take the form of non-institutionalised collective political action which strive for social and/or political change. While India has witnessed many such movements over the centuries, it is only over the last tow decades that political scientists and sociologists have begun to study them in depth. The time, therefore, is ripe to evaluate the burgeoning body of research and thus in the purpose of the book.
5. Economic Differentiations and Tribal Identity. A restudy of Chaudharis in
India: Ajanta Publications, 1984, page 152.
This monograph is a restudy of a tribe called the Chaudharis in Gujarat . The tribe was first studied in 1932 –33. The present study focuses on socio-economic changes that have taken place among the Chaudharis during the last for decades, and how far these changes have eroded or strengthened their tribal identity.
Unlike many tribal studies, the study examines the tribe s a part of the larger Indian Society which is following the capitalist path of development. It is argued here that the direction of change in the tribal society is Similar to that in the large society: and the nature and direction of change in the larger society greatly influence the internal structure , the norms and the life-style of the tribal society. This is more than detribalisation. Euphemistically called sanskritisation. Tribal unity is getting eroded and class formation is taking place among the tribal.
6. Caste Association and Political Process in Gujarat. A Study of Gujarat Kshatriya Sabha. Bombay, Popular Prakashan, 1975, page 218.
The present study examines the processes of interactions between caste and politics. The Gujarat Kshatriya Sabha, a caste association has selected as a case study to understand such processes. In order to understand the process author has examined both documentary and survey data on the basis of these author has discussed the growth of the caste association, its structures and procedures, its leadership and its relationship with political parties and government.
7. Gross-Roots Mobilisation in Indian Politics. In India’s Democracy: An Analysis of Changing State-society Relations by Atul Kohli (ed.). New Jersey: Princeton University Press 1988, page 262-306.
This essay surveys the political activities of those at the bottom of the social hierarchy, dispelling the widespread belief that India’s downtrodden are inactive. Shah’s paper describes and categorizes the myrial of political actions undertaken by India’s poor. A number of important insights emerge from this paper. First and most important, in the clean sense of political restiveness of the lowest social level. The second important insight that emerges from Shah’s paper is an explanation of why this restiveness has not accumulated.
8. Disease, Doctors and Urban Public Health System: A study of Surat City.
IASSI Quarterly, Vol.14, Nos.1-2, 1995, page 115-139.
This paper aims at examining the nature of major diseases in the city affecting a large number of people. Their perception of these diseases and the remedies they follow to be cured have also analysed. It also delineate the network of doctors in the city and then role in curing diseases, and creating, strengthening or reformulating people’s beliefs about health and diseases. It also examined the nature and extent of the public health system in the city.
Dr. Mohan Rao
An examination of the political and economic forces underlying the recent epidemic of cholera in Latin America reveals striking resemblances to the situation in which the pandemics of cholera occurred in the 19th century. It draws attention to the fact that not only does politics inform the occurrence of disease, but the shape and content of health policy and intervention as well.
No.1, Feb. 1993, p. 22-24.
This article examines the popular historical myths and propaganda about population growth among different religion, especially among Hindu and Muslim population. It argues that perhaps birth rate and acceptance of family planning are dependent upon a large number of socio-economy factors. He feels that the imbuing demography with religion is clearly guided by dangerous political motives.
Malthusianism and neo-Malthusianism offer an excessively simplistic understanding of the complex relationship of resources and population, which has proven to be a theoretical red herring. This article attempts to critically examine the Malthusian writings locating the philosophy in a socio-political context and draws attention to its conceptual, methodological and empirical weaknesses.
4. Plague: The Fourth Horseman. Economic and Political Weekly, Vol. 19, No.24, Oct.15, 1994, p.2720-21.
The plague of 1886 which besieged parts of India was the third great plague pandemic in history. While it devastated many reasons of the country, when it was introduced in the west caused few deaths, mainly because Europe had by then been transformed by the sanitary and health revolutions.
In this article, author traces the evolution and growth of the family planning programme in India. He draws attention to the factors which are deemed to contribute to its success, viz. employment and poverty, improvement in health, nutrition and infant child survival. The experience of countries in Latin America and Africa, which adopted structural adjustment programmes shows that the negative impact of these policies were precisely felt in these areas. On this basis author hypotheses that new economic policies will further erode the already weak base for the acceptance of family planning in our country.
The World Bank’s World Development Report 1993 proposes drastic changes in the direction and content of health service development. A recent seminar in Delhi raised issues regarding the report’s conceptual, methodological and empirical aspects.
In this paper author presented some findings of his study in three villages of Mandya District of Karnataka to tangentially throw light on the question of the reproductive profligacy of the poor.
The article traces the shifts that have occurred over the years in India’s family planning programme and the role of world Bank in these shifts. It argues that the focus on reproductive health obscures the fact that India is yet to undergo an epidemiological transition; that the profile of diseases and deaths continues to be dominated by diseases caused by poverty. Therefore without adequate employment income, food, water, sanitation and access to comprehensive primary health care the approach of reproductive appears doomed to failure.
It is a report of the workshop entitled ‘The place of reproductive health in India’s primary health care’ held on 4-5 Nov. 1996 at JNU, New Delhi, where in many health professionals and policy makers were written and presented papers. Their papers examined the concept of reproductive health as it emerged in the World Bank document entitled ‘India’s family welfare: Towards a reproductive and child health approach. They looked at the epidemiological basis and consequences of the approach of the World Bank, and draw attention to some serious methodological problems with the World Bank report and offers an alternative public health perspective for understanding reproductive health.
The quinacrine trials raise a host of questions regarding the safety of this method of sterilisation and the methodology used to assess this. Even more importantly they point to the conditions created by the dominant discourse on these matters, in which a scientific scandal can be perpetrated with such impunity.
Dr. K.R. Nayar
K.R.Nayar and Prabha Ramalingaswami. Perceived Environmental Quality and Perceptual Selectivity Patterns in an Agrarian Setting in Kerala. Journal of Social and Economic Studies, Vol.3 (3), 1986, pp.287-295
This paper studies the perceptual components of the environmental system in Kuttanad region of Kerala which is a green revolution belt. The study reveals that the ecological imbalance manifested in the form of water pollution, growth of water plants and weeds, the outbreak of environmentally induced diseases, is one of the major factors responsible for the low perceived environmental quality and frustration. There also exists a socio-economic filter influencing the perceptual reactions of the people. The study concludes that perceptual selectivity patterns should form the background for evolving developmental programmes to minimize the ecological fallout.
K.R.Nayar. Environment and international world views: Two steps backward. Economic and Political Weekly, Vol.Vol.25 (9), 1990, pp.457-462.
This paper reviews the global perspectives on environment. The review reveals that the global perspectives on environment are influenced by a predominant world view imbued with an overriding concern for population growth in the Third world countries. The Club of Rome has the distinction of spreading the awareness of doomsday with puissant reports linking environmental issues with population growth. The paper shows the neo-Malthusianism inherent in some global perspectives on environment and the reflection of these perspectives on Indian policies and progeammes.
K.R.Nayar. Social sciences in health: Towards a paradigm. IASSI Quarterly, Vol.12 (1 &2), 1993, pp. 152-59.
The paper suggests that it is possible to now visualize a theory in social sciences in health. The theory should visualise health at three levels. Health should be viewed as a problem and a need in order to understand the epidemiological and social-structural issues. At a third level, the theory should also encompass the international dimension in terms of health policies and programmes which emanate from the international network.
All the three levels are interrelated at both theoretical and empirical levels. This approach highlights the need for adopting a political economy approach rather than the conventional segmented approaches like health psychology, medical sociology and medical anthropology.
K.R.Nayar. Politics of Sustainable Development. Economic and Political Weekly, Vol.29 (22), 1994, pp.1327-29.
This paper addresses the concept of sustainable development which is ill-defined and vague. The paper says that this ambiguity allows different conceptualisations depending on one’s ideological inclinations. It is suggested that the operationalisation of the concept should allow the distinctions between developed and developing countries. If the distinctions are recognized, then the starting point is the countries of the North which, through the present high levels of consumption and polluting technologies, not only damage their own environment but even that of the South. In short, the politics of
sustainable development is that it is anti-poor, anti-south and anti-ecological.
K.R.Nayar. The new era of growth: An epitaph to the environment. Social Scientist, Vol.22 (9-12), 1994, pp. 129-136.
This paper analyzes the environmental concerns of structural adjustment programmes in India and place them in the context of policy directions from the World Bank especially in the form of World Development Reports. It is opined that the conceptualization of environment in the World Development Report , 1993 in terms of three categories, of the household, the occupational and the ambient environments does not capture the type of stress that the Indian urban and rural environments are subjected to and its environmental health implications. It also does not deal with direct and indirect effects on health due to concentration of industries, urbanization, depletion of natural resources and its effect on livelihood – especially in marine and forest ecosystems.
K.R.Nayar. Housing, water supply and sanitation: An assessment of problems and prospects. IASSI Quarterly, Vol.14 (1&2), 1995, pp.103-109
The analysis of housing and basic amenities in India suggests that the intersectoral vision and an understanding of the state’s responsibility at the time of independence have given way to interests of the private sector. It is evident that the availability of housing for the poor is one of the areas which needs urgent action. This is due to commercialization of housing sector which has resulted in higher cost of building materials which is unaffordable to the poorer sections even with the subsidy-oriented government programmes. From the broad linkages between housing, environmental amenities and health it is possible to conclude that the notional intersectoral approach has to be reformulated into an intersectoral action programme.
K.R.Nayar. Housing, amenities and health improvement: Some findings. Economic and Political Weekly, Vol.32 (22), 1997, pp. 1275-79.
The analysis of data from ten states supports the contention that health improvement in India is a complex phenomenon. It could be methodologically incorrect to isolate literacy from the myriad of relationships, as this is supposedly innocuous. Any action on health improvement cannot be based on notions of unilinearity and ready-made models. The intercorrelations between various indicators suggest that mere availability of housing or amenities alone would not explain health improvement. Having a source of water in the premises is much more important even if it is an open source of drinking water. This probably explains the situation in Kerala where large majority of the households in rural areas depends on well water. The linkage between sanitation and health stands out. The association is stronger than any other linkages. Kerala again stands out in terms of availability of toilets and exclusive toilets.
K.R.Nayar Old priorities and new agenda of public health in India: Is there a mismatch? Croatian Medical Journal, Vol. 39 (3), 1998, pp. 308-315.
The aim of the paper is the analysis of the mismatch between the new health services agenda and epidemiological priorities, and exploration of the possible alternatives, such as decentralization. The post-reform period has witnessed a rise in the cases of communicable diseases and an increase in the frequency of epidemics in different parts of the country. The infant mortality rate has risen or decline has slowed down in many states. The new agenda, which includes gradual withdrawal of the State in the provision of health services and the process of privatization, has already been initiated in the country as a part of the health sector reforms. The process of decentralization in Kerala was examined to highlight the role of people’s planning in health under growing conditions of mismatch between epidemiological priorities and the new agenda.
K.R.Nayar. Ecology and Health: A systems approach. New Delhi: APH Publishing Corporation. 1998 (Book)
This book unravels the socio-economic and public health dimensions of the ecological conundrum in the Indian context. It analyzes the ecological fallout from developmental programmes using systems approach. By examining the natural, physical socio-economic and perceptual components of the environmental system, it also highlights the need to consider the environmental concerns of different sections of the population to minimize the impacts of technocentric biases in the developmental programmes.
Dr. Rama Vaidyanathan Baru
This paper reviews two experiments initiated for rehabilitation of disabled in the urban slums of Vishakapatnam in Andhra Pradesh and rural areas of Haryana. The author points out some of the structural limitation in the implementation of these projects.
This paper which is co-authorised with Qadeer and Nayar is a reconstruction of the plague epidemic in Surat, Gujarat. The paper uses empirical evidence to reconstruct the factors that were responsible for this epidemic and emphasize the need for a systematic analysis for public health practice.
This paper locates the public private mix in provisioning of medical within the larger framework of a mixed economy model. The author argues that private interest have been accommodated in the planning process from independence to the present. This framework is used to analyse the process of privatisation of medical care in India.
This paper studies the regional variations in health services across well developed and poorer districts in Andhara Pradesh. Based on data on institutions, bed strength and manpower, the author examines the distribution across these two sets of districts for the public, private and voluntary sectors from the 60’s to the mid 80’s . In addition the author explores the socio-economic and political factors responsible for these variations.
This paper examines the patterns of provisioning across the public and private sectors in major Indian States. The author argues that the utilization patterns are closely related to availability of services. Based on available data, it is apparent that the public sector is still the major provider of health services and any cutback on these will adversely affect the poorer states where the private sector growth is very little.
This paper examines the history and spread of medical missionaries during the 19th century and the trends in growth of mission hospitals across states. In the present context of privatisation the future role of missionary hospitals is also discussed.
This paper explores the history and regional distribution of Non-Government Organisations. It analyses the characteristics, coverage and limitations of NGOs.
This article explores the experience of health sector reform in Andhra Pradesh. It looks at the content and limits of the reform process which has policy implications.
India has adopted a planned approach to the development of health services, with the state playing a central role in training, finance and management. At the same time, the state has not only accommodated but protected private interests. By the mid-1980s , the government began to openly accept its inability to achieve health goals and began to accord a prominent role for the private sector in the delivery of health care. The result is a mixed model with the growth of the private sector being closely intertwined with the public sector at several levels.
This pioneering study explores not only the trends in the privatisation of health care over the past fifty years but also its social basis. Based on an empirical study of private hospitals in the city of Hyderabad, author delineates the emerging patterns of medical care in the private sector within a historical and global perspective. She examines the role of professional, certain social classes, and international capital, all of which have shaped the content of privatisation. The book lucidly unravels the links between the public and private sectors as also the complex social processes through which these interests have been consolidated.
A unique feature of the book is its examination of the social bases of privatisation. The author clearly demonstrates, through an in-depth study of the background of medical entrepreneurs, that there has been a movement of capital away from agriculture and business into the medical sector . Author shows how the growth of the private sector has had a negative impact on the public sector, at the same time raising questions responsibility of medical professionals. She concludes that in a country where a significant portion of the population still lives in poverty, the additional burden of paying for medical care will result only in further impoverishment.
Replete with new insights, this book will be of considerable interest to health professionals and policy-makers, as also to all those involved in public health medical sociology, health economics and management, and development studies.