ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Brijesh C PurohitSubscribe to Brijesh C Purohit

Efficiency of Healthcare Sector in Bihar

In this article, we focus on the efficiency of the healthcare system at the district level for Bihar. Although relatively an economically and socially disadvantaged state, the infant mortality rate in Bihar is very close to the all-India average. We explore the reasons for the differential performance of different districts by using data envelopment analysis. The efficiency rankings from our results indicate a mix of inefficiency, inadequacy of inputs, and the presence of an optimal targeting of funds under the National Rural Health Mission to low-performing districts.

Efficiency Variation at the Sub-State Level: The Healthcare System in Karnataka

This paper attempts an analysis of efficiency variation in health system performance in Karnataka. By using the stochastic frontier technique, it provides an idealised yardstick to evaluate the performance of the health sector. Carried out in two stages of estimation, the results of our model, using district-level panel data, indicate that the efficiency of the public health delivery system in Karnataka remains low. Considerable disparities across districts in per capita availability as well as utilisation of hospitals, beds and manpower inputs hamper improvements in life expectancy in the state. Results from the second stage of estimation suggest that in rural areas particularly, improvements in infrastructure facilities like safe drinking water supply, toilets and electricity as well as better coordination between social sector and economic policies, especially at the district level, may also help the state improve life expectancy speedily and more equitably in the deficient districts.

New Directions for Public Health Financing

Health Financing Brijesh C Purohit Reeta Mohan The World Bank's recommendations on financing of health care, with the emphasis on primary health care services need serious consideration.

Cost Recovery in Diagnostic Facilities

Brijesh C Purohit Tasleem A Siddiqui Until 1982 public teaching hospitals in Rajasthan provided diagnostic facilities such as Xrays, free of cost of patients. Budget constraints have compelled the institutions to introduce an auto financing scheme (AFS) aimed at recovering variable costs of the tests. The experience of the AFS scheme provides useful pointers about user-charge mechanisms.

Household Expenditure on Health Care

Regarding the origin of the caste system, Ambedkar put forward the view that the untouchables were historically 'broken men', primitive tribes who were vanquished and now broken into segments. The settled population allowed these broken people to live on the outskirts of their habitation, and that is how they soon began to be regarded as untouchables. Unlike Radhakrishnan who maintained that the caste system represented a process that encouraged the development of unity, Ambedkar saw only divisiveness and suspicion fostered by the caste system. Consequently, he said that Indians should realise that they are not yet a nation; so long as society is divided into myriads of castes, some of whom have severe disabilities attached to them, they could not be counted as one.

Utilisation of Health Services in India

Utilisation of Health Services in India Brijesh C Purohit Tasleem A Siddiqui The pattern of utilisation in our country had some desirable outcomes, namely, growing popularity of indigenous non-allopathic systems and growth in private sector's involvement in expensive tertiary care. As against the National Health Policy guidelines the regional disparities in health service utilisation among different expenditure groups of states as well as rural-urban disparities tend to continue. Further, in spite of inadequacy of health services and prevalence of inequality in utilisation, there has been no serious governmental initiative to encourage appropriate utilisation by means of devising health insurance and other cost recovery mechanisms.

Corporate Savings Behaviour in India-A Model

A Model Brijesh C Purohit This paper aims to explain the stagnation of corporate savings in India within a behavioural hypothesis which allows incorporation of investment expectations and simultaneously captures the influence of the dividend motive in a single equation framework.
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