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.

"This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--

Despite rapid advances in modern medicine and state-of-the-art health care services in the private sector, primary health care in India remains inaccessible to a majority of the population. Besides, even policymakers often do not have access to real-time data to fine-tune their policies or design appropriate research and intervention programmes. Drawing on field experiences, this volume brings together scholars and practitioners to examine public health from different perspectives. It discusses practical and applied issues related to the health sector, especially the role of Information and Communications Technology (ICT); participation of civil society; service delivery; quality evaluation; consumer empowerment; data management; and research and intervention. This book will be useful to scholars, students and practitioners of public health in developing countries such as India. It will also interest policymakers, health care professionals, and departments of public health management and those concerned with community medicine.

Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.

The book examines how the private sector in developing countries, specifically India, is tapped to deliver health care services to poor and underserved sections of population, through collaborative arrangements with the government.

A practical, succinct guide to the major health systems around the world and what lessons can be drawn from each about improving health worldwide. The essays are designed to give the reader essential knowledge of the history, strengths, weaknesses and lessons of each health system.

This document provides a standard-based tool for health workforce planners and decision-makers developing an electronic system or modifying an existing health information system to count and document all health workers within national and subnational contexts. The minimum data set for health workforce registry provided in this document can be used by ministries of health to support the development of standardized health workforce information systems. The minimum data set allows standardization of data values within existing electronic human resources for health (HRH) information systems. When used appropriately by information systems designers and software developers, a functional electronic health workforce registry can be designed to enable health workforce data interoperability, i.e. the ability to exchange health workforce data between software applications and computer systems within broader sub-national or national health information systems. Through this approach, rapid aggregation and display of health workforce data for decision-making can be fully realized.