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

Articles By Roger Jeffery

Polio in North India: What Next?

India has continued to report cases of wild poliovirus and acute flaccid paralysis throughout the 2000s. Indeed, in 2009 the numbers of both exceeded the totals for 2008, by 26% and 9.5%, respectively. Confirmed wild poliovirus cases are increasingly concentrated amongst Muslim children and localised in western Uttar Pradesh and Bihar. The Pulse Polio Initiative has responded by pressurising parents into complying with the administration of multiple doses of polio vaccine to their children. But almost all new cases occur among children who have been vaccinated many times. The problems inhere in the weaknesses of government health services and in the PPI's inadequacies and errors: a focused top-down programme using the wrong vaccine and with dubious targets. It has lost its way and requires a radical shake-up.

Measuring Disability in India

Disability status is often transitory or a matter of insidious change. A person's ability to function properly depends to a considerable extent on her/his social and physical environment. One area that slips through the large-scale studies like the census and National Sample Survey is the impact of the state and the market on the lives of people with disabilities. There is a case for a more fundamental re-envisioning of the nature of the disability estimates.