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

Articles by Rama V BaruSubscribe to Rama V Baru

Lifting Drug Price Controls in China

The recent move to deregulate drug prices in China has the potential to fester into a public healthcare disaster. Disruptive practices by hospitals and pharmaceutical companies could completely negate the positive effects of healthcare reforms over four decades.

A Limiting Perspective on Universal Coverage

The report of the High Level Expert Group on Universal Health Coverage for India reaffirms the principles of universality and equity in access to healthcare and the central role public services have to play in bringing this about. However, the HLEG pays inadequate attention to regulating the deeply entrenched private health sector, which is not only embedded within an intricate and interdependent web of power relations, but also has a marked influence on policy.

Full Meal or Package Deal?

With lobbying going on to replace cooked meals in the mid-day meal programme with processed foods like biscuits, this article reports on a consultation earlier this year that saw academicians, medical professionals, and nutrition and public health experts discuss the impact of providing dry rations versus cooked foods.

Blurring of Boundaries: Public-Private Partnerships in Health Services in India

This paper traces the evolution, structure and characteristics of public-private partnerships in healthcare over the last six decades. It argues that these partnerships have broken down the traditional boundaries between the market and the state, leading to the emergence of multiple actors with multiple roles and newer institutional arrangements that have redefined their role, power and authority. The fragmentation of role and authority has serious consequences for comprehensiveness, governance and accountability of health services.

Privatisation of Health Services

This article identifies key processes that influence the size and characteristics of private provisioning in health care in India, Pakistan, Bangladesh and Sri Lanka, as well as the variations in the pattern of such private sector presence in these countries. Privatisation of health care in the highly iniquitous countries of south Asia jeopardises access to the large sections of the population that live in poverty.

Resurgence of Communicable Diseases

Recent epidemics of gastro-enteritis in two of the poorest districts of Andhra Pradesh illustrate well why there is a need for a comprehensive broad-based public health policy which emphasises preventive and promotive care.

Medical Industry: Illusion of Quality at What Cost?

Much of the debate on privatisation of health care has been based on the assumption that the private sector provides a better quality of services than the public sector. Efforts are on to restructure public institutions on market principles to promote efficiency. However, a recent report on Delhi's private hospitals is a shocking reveletion of their questionable management practices with regard to workers as well as patient care.

Health and Structural Adjustment-Major Shifts at Policy Level

The World Bank's World Development Report 1993 proposes drastic changes in the direction and content of health service development. A recent seminar in Delhi raised issues regarding the report's conceptual methodological and empirical aspects.

Inter-Regional Variations in Health Services in Andhra Pradesh

Services in Andhra Pradesh Rama V Baru Economic development and availability of investible surplus, commercial activity and infrastructural facilities appear to be the major features determining the spread of health services in the private as well as the public and voluntary sectors. A comparative study of advanced and backward districts in Andhra Pradesh.

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