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

Articles By Maharashtra

Hysterectomy as a ‘Magic Bullet’ for Gynaecological Morbidities

The increasing prevalence of hysterectomies among young women in various states of India over the past decade has raised significant concerns. The study on hysterectomy among rural women from weaker socio-economic backgrounds in a district in Maharashtra examines the factors that shape the choice of healthcare facilities. Existing studies and news reports indicate that among the various stakeholders, private practitioners unnecessarily prescribe hysterectomy for monetary interests.

Public Procurement in Medical Supplies

The Nanded government hospital tragedy is analysed in this article, and it is pointed out that there is a need to revisit the system of public procurement of medical supplies. Maharashtra moved from its old procurement system to the Medical Goods Procurement Authority Act, 2023 in March. Despite that, the tragedy took place and is said to have been a result of poor medical supply procurement.

Multidimensional Deprivation Index and Spatial Clustering

Using a village-level data set, we create an index of multidimensional deprivation for basic amenities available in villages for various states of India and compare the performance of Maharashtra relative to other states. Surprisingly, rural Maharashtra lags behind even the supposedly underdeveloped states like Uttar Pradesh and Bihar. Our index correlates well with numerous development indicators, including newly-born underweight children, per capita consumption, employment, and luminosity of night lights. The paper argues for using the multidimensional deprivation index as a metric for local and regional planning to bring about more equitable public provisioning in basic amenities within the country.

 

Shashikant Ahankari (1953–2023)

Shashikant Ahankari was the driving force behind the Health and Auto Learning Organization, a social movement aimed at creating sustained and affordable access to formal healthcare for the poor across rural Maharashtra. He was instrumental in providing several pioneering models of rural healthcare and public health interventions in India. His cadres of Bharat Vaidya village health workers created in the aftermath of the Latur earthquake in 1993, were to find resonance in the form of accredited social health activist workers in due course.

Characteristics of the Multipronged Agrarian Crisis in Maharashtra

The agrarian crisis of Maharashtra predominantly comes out in the form of its nationally largest, yet scanty and inefficient irrigation sector, and development backlog faced by about two-thirds (62.10%) of its geographical area, with 57.29% of the total and 45.68% of the state’s tribal population. Low crop yields and net negative returns for cultivating most of the crops across seasons result into the farm household level indebtedness and highest number of farm suicides death toll at the national level for over a period of three and a half decades.

The Forgotten Nakoshis of Satara

In Maharashtra’s Satara district, female children, named Nakoshi (translated as “unwanted”), were renamed in 2011 in a public ceremony that drew global attention. The paper revisits this event after a decade to study the developments in due course of time. Apart from the initial feeling of positivity, the renaming ceremony hardly changed the lives of the girls. The paper argues that more than the tokenism of name change, these forgotten Nakoshis need significant and effective measures of reform to break free from the shackles of the patriarchal cultural practices and the subsequent sufferings. Greater sustained state support, through educational and socio-economic welfare schemes, could perhaps have carved a better future for the girls.

Corporatisation in Private Hospitals Sector in India

Transformation in the Indian private hospitals sector is examined in Maharashtra, employing qualitative interviews, witness seminars, and desk research. Findings point to significant changes: hospitals viewed as businesses to yield profits; adoption of business strategies to ensure financial viability and returns; changes in not-for-profit and small hospitals; and consequences for institutional and medical practice. Policy shifts towards greater private sector involvement in health, industry advocacy, availability of insurance, and patient expectations drive these changes towards corporatisation, which is not just about the growth of corporate hospitals; it entails structural and behavioural changes across the healthcare sector solely favouring economic goals.