Category Archives: Public Health

Can carers decide on assisted suicide

Caring for a chronically ill family member is physically and emotionally taxing. I have seen in such situations people struggling with questions on the larger meaning/purpose of life, death, well-being, happiness and such. The very capacity to love and empathize (either oneself or our loved ones) get tested in such situations. I have heard single mothers working daily wages asking if their severely disabled and mentally ill children can be assisted to die… I have also heard parents in extreme poverty lament caring for a severely mentally ill child. These provoke questions at various levels ranging from what is the role of the onlooker/health worker in such situations to the larger question of who’s to blame and whom to hold accountable for such a pathetic situation that some households find themselves in. Is it not largely due to failure of systems and services. Is it just by pure chance that these situations are more taxing in poorer and disadvantaged households?

Continue reading

Of rainy cities and public health

This is an expanded version of an article published in Sunday Spotlight submission to Deccan Herald dated September 17, 2017

Recognition is famously a passage from ignorance to knowledge

The above line is from Amitav Ghosh’s The Great Derangement, his recent meditation on how literature has engaged with climate change and its effects. Ghosh laments the absence of substantive engagement by contemporary arts and literature on climate change. Continue reading

Modi-fying India’s health: Health in the times of India’s new prime minister

This blog was published on the International Health Policies Blog on June 5, 2015 under the same title. It was co-written with Upendra Bhojani, my colleague at IPH, Bangalore

These are interesting times in India, no doubt. Our new prime minister, Narendra Modi is ensuring that India’s global reputation as a progressive, multi-cultural and multi-ethnic society with a rich history is not tarnished by several recent reports of sexual violence on women or inter-religious conflict. Immediately after assuming office about a year ago, Modi took India’s image very seriously, perhaps more seriously than many of us imagined. Continue reading

Studying organisational change in Indian district health systems: end of a PhD journey

On 21st April, 2015 I defended my public health PhD dissertation at Universite

Public defence at UCL. Clicking the photo takes you to the ITM public health department's blog on the defence

Public defence at UCL. Clicking the photo takes you to the ITM public health department’s blog on the defence

Catholique de Louvain in Brussels. I sought to understand  organisational change within district health systems in an Indian district. The research was carried out in Tumkur district in southern Karnataka (on which I have blogged a bit). I focused on understanding “change” within a public service bureaucracy like the one we have in Karnataka. Continue reading

Building health policy and systems research capacity in India: the KEYSTONE approach

The last few decades have seen a proliferation of research in the domain of health policy and systems research (HPSR). Major technological advances in medicine and various healthcare innovations have little chances of succeeding if robust country, provincial and local health systems are lacking. Continue reading