That health, education and various other public services are distributed unfairly is not new for human societies; the level of unfairness however appears to be on the increase. This is indeed counter-intuitive, given the last few decades’ strides in economic progress and even improved average lifespan and improving access to health globally. Despite widespread feeling that inequalities in health or healthcare distribution is explained by chance or by other proximate explanations such as distance or wealth, the “causes of the causes” are invariably lying within social factors (see my recent TedX talk on health as a matter of chance, or of choice). Continue reading
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 we have in Karnataka. Continue reading
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
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
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
Basic demographic information forms the basis of policy, planning and public
discourse. The system through which governments record vital events such as births and deaths is the civil registration system. Defined by the United Nations as “the continuous, permanent, compulsory and universal recording of the occurrence and characteristics of vital events”, it forms the basis for identity, citizenship and civil rights. Established perhaps first by Sweden, as early as 1631, its importance was globally recognised and more countries have worked towards establishment of efficient and comprehensive civil registration systems.