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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 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... read more

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 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... read more

Can we count on our counting systems?

A shorter version of this article appeared on BMJ Blogs on October 31, 2013 under the same title.  Co-written with Himabindu G L of IPH, Bangalore. Much of the material remains unprocessed, or, if processed, unanalysed, or, if analysed, not read, or, if read, not used or acted upon Robert Chambers Basic demographic information forms the basis of policy, planning and public discourse.  The system... read more

Doctor, doctor where are you?

I am rejuvenating a note I had started a few months back on reading an article on doctor availability in rural areas by Krishna Rao in The Hindu a few dasy back. Chikkanayakanahalli taluka hospital in Chikkanayakanahalli taluka in Tumkur district. Being a taluka hospital, it is supposed to cater to the hospital needs of 219,000 people in this taluka. The National Rural Health Mission (NRHM) launched in... read more

Follow the leader…

The auditorium at Tumkur was abuzz with expectation. The district and sub-district health officials from the government health services had congregated for a training session organised by Swasthya Karnataka on administrative procedures. The resource person for the day was Dr. P K Srinivasa, the lead consultant to the Government of Karnataka on implementing the National Rural Health Mission. The... read more

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