Health managers and organisational change in Indian districts

As Indian districts are increasingly finding themselves at the receiving end of new monies flowing in under the National Health Mission, something that

Flyer of panel discussion where the paper was released at the Third Global Symposium on HSR in Cape Town (October 2014)

Flyer of panel discussion where the paper was released at the Third Global Symposium on HSR in Cape Town (October 2014)

everybody were increasingly pushing for, we find ourselves in a strange predicament, the sheer lack of capacity to spend these new resources. As more and more resources become available, our public health services face a curious gap of not knowing how to make the best use of the new resources as well as the powers that the decentralisation process is bringing. Continue reading

Gallery

Table mountain

It was a wonderful and sunny October morning after an overwhelmingly busy week-long discussions over complexity of health systems and researchers’ collective aspiration for a people-centred health system held at a venue largely unrepresentative of the rest of South Africa, … Continue reading

Dispatched

What’s wrong with death sir? What are we so mortally afraid of? Why can’t we treat death with a certain amount of humanity and dignity, and decency, and God forbid, maybe even humor. Death is not the enemy gentlemen. If we’re going to fight a disease, let’s fight one of the most terrible diseases of all, indifference.

- Patch Adams (in the movie) played by Robin Williams

Robin Williams, a brilliant actor who pulled off comic roles so naturally in Hollywood

Robin Williams in the movie Patch Adams

movies committed suicide earlier today. One of his better known movies, Mrs. Doubtfire for example, is  known in our parts for its adaptation by Kamal Hassan in the Tamil movie Avvai Shanmughi or  re-made in Hindi as Chachi 420. Continue reading

Health system regulation in India

 The medical establishment has become a threat to health

- Ivan Illich begins his book “Limits to Medicine: Medical Nemesis” (1975) with these lines

Going by recent events, Illich’s trenchant criticism of Western medical

Ivan Illich’s classic 1975 book “Limits to Medicine: The Medical Nemesis”. Clink image to download pdf of book

establishments is also pertinent to healthcare in India. First, there was Aamir Khan’s Satyameva Jayate TV episode on corruption in India’s healthcare sector, which provoked anger at the system and discomfort at (what some felt was) his sanctimonious treatment of the issue. Then, the entry, exit, and re-entry of an allegedly corrupt doctor, Ketan Desai, as head of the Medical Council of India

made news.

Continue reading

Open government (data)

Comment is free, but facts are sacred

Thanks to the exceedingly good central government run website to file applications under the Right to Information Act (see end of this post for details), I got the opportunity to look at some useful data on implementation of large nationwide schemes. I have been trying to obtain data on such schemes across subjects, disciplines and departments with the objective of understanding what ails the management and utilisation of data in government services in India. Continue reading