Health Providers in India: On the Frontlines of Change
Book information
Description
This volume has articles contributed by health researchers, practitioners, policy advocates, programme managers and a journalist, and poems by renowned poet–physician Gieve Patel. Each presents a distinctive view of a particular group of frontline health providers, based on field research or on the authors’ respective experiences of working with or as providers. The health providers addressed in this volume include doctors (working in the public and private sectors), nurses, public health workers, counsellors, traditional practitioners and homecare providers. Different groups of health providers face struggles at diverse frontiers ― social, professional and systemic. In the context of reforming health systems, government health workers must constantly negotiate the vagaries of changing working environments and policy vacillations. For traditional and homecare providers, formal health systems and structures often only reject and exclude their contributions. Medical doctors, conversely, face difficult challenges of introspection, as they tread the line between personal gain and public service. The ideas and themes that emerge in this collection not only contribute to the understanding of providers’ roles as actors in the health systems and societies of contemporary India, but re-examines preconceptions about this critical occupational group. This volume advances the case for a deeper appreciation of India’s complex landscape of healthcare provision, and of the potential roles of frontline health providers as central figures in development. Cover Title Copyright Dedication Contents List of Figures List of Tables Preface and Acknowledgements List of Abbreviations Introduction. India’s Health Providers — Diverse Frontiers, Disparate Fortunes PART I. GOVERNMENT HEALTH WORKERS: UNEASY AT THE BOTTOM Chapter 1. Government Rural Health Assistants as Social Beings: Neither Passive nor Perverse Chapter 2. The Midwifery Role of the Auxiliary Nurse Midwife: The Effect of Policy and Programmatic Changes Chapter 3. Dilemmas and Conflicts of HIV Counsellors in VCTCs: Experiences from Karnataka PART II. DOCTORS: VEXED RELATIONSHIPS WITH THE PUBLIC GOOD Chapter 4. Public Sector Doctors in an Era of Commercialisation: Reflections from Senior AIIMS Doctors Chapter 5. Working with Private Practitioners on a Public Health Intervention: The ‘Key Clinics’ Experience Chapter 6. Understanding Practitioners’ Responses to National Policy Guidelines: The Case of HIV Testing in Hospitals Chapter 7. The Dynamics of Medicos’ Anti-Reservation Protests of 2006: A Lens on Their Political Actions PART III. TRADITIONAL AND HOME CARE PROVIDERS: THE EDGE OF LEGITIMACY Chapter 8. The Community Role of Indigenous Healers: An Exploration of Healing Values in Maharashtra Chapter 9 Traditional Orthopaedic Practitioners’ Place in Contemporary Health: A Case Study from Southern India Chapter 10: The Critical Role of Family Care Providers in HIV/AIDS: Stories from Rural Maharashtra PART IV: ADAPTING, TRANSFORMING: PERSONAL EXPERIENCE IN PROFESSIONAL SPACES Chapter 11: Sexual Harassment of Women Health Workers: Individual and Organisational Responses in Kolkata Hospitals Chapter 12: Gender and Health Training of Male Multipurpose Workers: Challenges and Lessons Learnt from Mumbai Poems Notes on Editors Notes on Contributors Index
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