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

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‘When You Start Doing This Work, It Is Hard to Eat Dal’

In 2013, manual scavenging, or the cleaning of “dry” latrines with unprotected hands, was abolished in India. Yet, millions of dry latrines are still manually serviced by Dalit labour. The Prime Minister’s Swachh Bharat Mission has put little effort into the health and dignity of sanitation workers relative to its efforts on subsidising and encouraging latrine-building. A few days spent with the Valmiki community in Lucknow are recounted.

Measuring Catastrophic Healthcare Expenditure

Catastrophic household healthcare expenditure is a prominent policy concern. The National Health Policy 2017 takes explicit cognisance of this issue and presents an empirical formulation to examine its incidence and patterns. However, the policy needs to account for household size variations to counter an implicit bias that tilts the estimates to reflect a higher concentration of catastrophic expenditure among the rich. This concern is illustrated using health data from the 71st round of the National Sample Survey. Further, a minor modification to unravel the socio-economic gradient in catastrophic healthcare expenditure has also been discussed.
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