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India has a comprehensive legal and regulatory framework and large public health delivery system which are disconnected from the realities of health care delivery and financing for most Indians. In reviewing the current bureaucratic approach to regulation, we find an extensive set of rules and procedures, though we argue it has failed in three critical(More)
The relationship between extent of pesticide use and signs and symptoms of illnesses due to exposure was assessed in a cross-sectional survey of 631 farmers (537 men and 94 women) in South India. Responses to questionnaires showed that 433 farmers (68.6%) sprayed pesticides themselves and were thus directly exposed. More than 75% used moderately or highly(More)
In 1985, the Rockefeller Foundation published Good health at low cost to discuss why some countries or regions achieve better health and social outcomes than do others at a similar level of income and to show the role of political will and socially progressive policies. 25 years on, the Good Health at Low Cost project revisited these places but looked anew(More)
There has been much recent interest in the trade in human organs in India. This paper examines both the extent to which regulatory controls through the Transplantation of Human Organs Act (1994) are effective in curbing commercialization and the nature of the constraints on the effective implementation of this Act. The study, a politico-economic analysis of(More)
This chapter examines what is known about the behavior of the private health sector in India and how the government should intervene in the private sector. The analysis is based on an extensive review of the literature in India and in six of its major states. Focusing on contracting and regulation, the literature points out that the government has limited(More)
The history of health care in colonial India was for long a neglected field of study. However, in recent years interest in the history of medicine and its role during the period of British rule has been growing, as is evident from the increasing number of studies published. ' While some attempts have been made to draw the broad outlines of the development(More)
The early decades of this century witnessed significant developments in the approaches to control of malaria in British India. These included both large-scale preventive measures and curative treatment methods (often referred to as "cinchona" or "quinine" policy). This paper identifies a number of factors that constrained the colonial government's capacity(More)
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