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Reports

महाराष्ट्रातील कुपोषणाची गंभीर समस्या

महाराष्ट्रातील कुपोषणाची गंभीर समस्या' या अहवालात सामाजिक-आर्थिक विषमता आणि पोषणविषयक विषमता यातील परस्पर संबंध पुढे आणण्याचा प्रयत्न केला आहे.

''महाराष्ट्रातील कुपोषण-आपत्तीजन्य परिस्थिती'- यामध्ये महाराष्ट्राच्या कुपोषणाच्या परिस्थितीचे विश्लेषण केले आहे. राहण्याचे ठिकाण, लिंगभाव, जात व वर्ग या आधारे पोषणविषयक दर्जात कशी तफावत दिसून येते त्याची मांडणी केली आहे. महाराष्ट्रातील कुपोषण व अन्य राज्यातील परिस्थिती यांचा तुलनात्मक आढावाही घेतला आहे.

'महाराष्ट्रातील सामाजिक-आर्थिक विषमता- सद्यःस्थितीवर दृष्टिक्षेप', या प्रकरणात राज्याच्या विविध भागातील तसेच समाजगटातील विषमता; त्यांचे उत्पन्न, गरिबी आणि शिक्षण या निर्देशांकांच्या आधारे तपासली आहे. त्यांचा केरळ, तामिनाडू, बिहार व ओरिसा यांच्या निर्देशांकांशी तुलनात्मक अभ्यास केला आहे.

'उष्मांकाची कमतरता- नॅशनल सॅम्पल सर्व्हेतील माहितीचे विश्लेषण', या प्रकरणात राज्याच्या विविध भागात आणि समाजगटात दिसून येणाऱ्या उष्मांक कमतरतेचा जात, वर्ग, मालकीच्या जमिनीचे क्षेत्र, धर्म, घराचा प्रकार (प्रमुख व्यवसाय), ग्रामीण व शहरी भाग यासंबंधी स्वतंत्रपणे विचार केला आहे.
''लक्ष्याधारित सार्वजनिक वितरण व्यवस्था आणि अंत्योदय योजनेची महाराष्ट्रातील अंमलबजावणी, एकात्मिक बाल विकास योजनेची अंमलबजावणी आणि माध्यान्ह भोजन योजनेची अंमलबजावणी', या तीन महत्त्वाच्या योजनांच्या अंमलबजावणीचे मूल्यमापन पुढील तीन प्रकरणातून केले आहे. 

'कुपोषण, अनारोग्य आणि आरोग्य यंत्रणेची भूमिका', ह्या प्रकरणात संसर्गाला अटकाव करण्यासाठी आणि कुपोषणाचे वेळीच निदान करण्यासाठी समुदाय-आधारित व्यवस्थापन आवश्यक असल्याचे मांडले आहे. या प्रकरणात मातामृत्यू व बालमृत्यू यांच्या संदर्भात कुपोषणाच्या समस्येचा विचार केला आहे.  महाराष्ट्रातील कुपोषणाच्या समस्येचा विविधांगाने वेध घेण्याचा प्रयत्न या अहवालातून केला आहे. हा अहवाल कुपोषण निर्मूलनाकरिता काम करणाऱ्या कार्यकर्त्यांना उपयोगी पडेल अशी आशा आहे. (A Report on Health Inequities in Maharashtra - याचा मराठी संक्षिप्त अहवाल)

5.5'' x 8.5'', पृष्ठ संख्या-48, प्रकाशन-2011, देणगी मूल्य- ठ 25/-
 

 

Asha Melava Report

 

 

A report of National Seminar on Health Equity in India

As part of the project, Maharashtra Health Equity and Rights Watch, SATHI had organised the 'National Seminar on Health Equity in India' on 2nd and 3rd October 2008 in Mumbai.  The seminar was attended by 55 to 60 participants, which included health researchers, economists, NGO representatives and students from prominent institutes like TISS, IGIDR & IIPS.

One of the key objectives of the seminar was to bring together public health experts, social scientists, health sector NGOs and health activists on the issue of  'Health Equity' to develop a discourse on this emerging area in health sector. In addition, SATHI wanted to explore the possibilities of developing Health Equity research and advocacy initiatives by interaction with similar groups across the country.
Specific objectives of the seminar were

  1. To locate health inequity in the context of socio-economic inequities in India
  2. To discuss some basic concepts and various perspectives related to the health equity approach
  3. To discuss equity analysis as a tool to analyse the health sector; to take an overview of inequities in health status and inequities in access to healthcare
  4. To analyse how overall intensification of inequities impact upon women; understanding gender related health inequities
  5. To deliberate upon options towards a system for Universal access to healthcare as an approach to reduce health inequities
  6. To explore the possibility of further collaborations on health equity research and advocacy

The seminar was successful in initiating a discourse on the issue of health equity in India. The presentations by the speakers and the discussions that took place in these two days brought out various dimensions of  health equity in India.
This report is a summary documentation of the proceedings of the seminar.

5.5'' x 8.5'' Pgs-88,  published in 2009, complementary copy
 

 

A Report on Nutritional Crisis in Maharashtra

The report on 'Nutritional Crisis in Maharashtra' attempts to unravel the links between socioeconomic inequities and nutritional inequities in the state of Maharashtra.
The first chapter of the report, 'Undernutrition in Maharashtra, a situation of crisis,' is a situation analysis of malnutrition in Maharashtra. This chapter demonstrates the disparities in nutritional status of the population on the basis of their residence, gender, caste and class.

The second chapter, 'Socio-economic Inequities in Maharashtra: An update' explores inequities in the state of Maharashtra across regions as well as sub-groups of population using indicators of income, poverty and educational attainment among others. An analysis of agrarian crisis in Maharashtra is also one of the important sections of this chapter. 

The subsequent chapter is on 'Calorie Deprivation in Maharashtra: Analysis of NSS Data'. This paper explores calorie deprivation in Maharashtra across regions as well as sub-groups of population based on caste, size-class of land possessed, religion, and household type (indicating principal occupation of the household) for rural and urban areas separately.

The next three chapters of the report, viz. Implementation of TPDS and Antyodaya in Maharashtra, Implementation of ICDS in Maharashtra and Implementation of Mid Day Meal Scheme in Maharashtra, are the evaluations of these key schemes being implemented in Maharashtra. The chapter on, 'Undernutrition, Ill-health and the Role of the Health System' examines the role of health care in preventing undernutrition by effective community based management of infections as well as detecting undernutrition. Applying calculations of maternal and child morbidity and mortality to the state of Maharashtra, an attempt is made to calculate the number of child deaths, apparently due to infections but which can be attributed to undernutrition. These are avoidable deaths and healthy years of life lost. They can also be termed as 'excess' deaths, due to malnutrition.

Overall, this report is an attempt to describe the multifaceted nature of the problem of malnutrition and analyse the schemes implemented by the Government to overcome this problem in the state of Maharashtra.

8.5'' x  11'', Pgs-186, published in 2009, contribution price – Rs. 100/-

 

महाराष्ट्रातील आरोग्य विषमता

या अहवालात मुख्यतः राज्यातील सामाजिक, आर्थिक विषमता, आरोग्य स्थितीतील विषमता व आरोग्यसेवांच्या उपलब्धतेमधील विषमतेचा परामर्श घेण्यात आला आहे.
हा अभ्यास करत असताना जात, वर्ग, लिंग यानुसार आढळणाऱ्या विषमतांवर भर देण्यात आला आहे. स्त्री-पुरुष विषमतेवर स्वतंत्रपणे भर दिला गेला आहे कारण स्त्रियांना समाजात तिहेरी विषमतांचा सामना करावा लागतो. स्त्रियांच्या 'स्त्री' म्हणून ज्या विशेष आरोग्य विषयक गरजा असतात त्यासाठी देखील पुरेशी आर्थिक तरतूद सरकारी कार्यक्रमात केलेली आढळत नाहीत. जे आजार स्त्री व पुरुष यांना समानच होतात, त्या आजारावंरील उपचारांमध्ये स्त्री व पुरुषांमध्ये विषमता आढळून येते. त्याचप्रमाणे कौटुंबिक हिंसाचारामुळे स्त्रियांना वेगळया प्रकारच्या आरोग्य समस्यांना तोंड द्यावे लागते. मात्र अजूनही कौटुंबिक हिंसाचाराला सार्वजनिक आरोग्याचा प्रश्न म्हणून मान्यता मिळालेली नाही.
विषमता कमी करण्यासाठी जे धोरणात्मक बदल करणे आवश्यक आहेत त्यांच्याविषयी मांडणी या अहवालाच्या शेवटी केली आहे.
या अहवालाचा आरोग्य क्षेत्रात काम करणाऱ्यांना उपयोग होईल असा विश्वास आहे.
(A Report on Health Inequities in Maharashtra - याचा मराठी संक्षिप्त अहवाल)
5.5'' x 8.5'', पृष्ठ संख्या-48, प्रकाशन-2009, देणगी मूल्य- ठ 25/- 


Taking Shape - a Triannual report of SATHI (April 2005 to March 2009)

This is a brief report of the work done by SATHI during 2005-06 to 2007-08.  SATHI team began in October 1998 as an action team in CEHAT; the first centre of the Anusandhan Trust. As the work being done in CEHAT developed and expanded, the Trust decided to continue the work from April 2005 onwards through three independent centres - CEHAT, SATHI and CSER. During its first four years, SATHI has consolidated its work on the action/advocacy/training front and has made its appearance on the research front. This report outlines the collective journey of the SATHI team.

SATHI's action work has mostly been in collaboration with its partners and as part of broader coalitions like Jan Swasthya Abhiyan. Hence this report necessarily reflects such collaborative work and SATHI's contribution in it. It is very clear to SATHI that in this work our partners have played an equally  important role, and there is no illusion that the work described in this report is that of SATHI alone. We have mentioned the contribution of our various partners in the relevant paragraphs of this report. But if there is any inadvertent deficiency in this regard, we stand corrected.
SATHI team has worked in the spirit of a mission and not merely as a job and this report too is a product of team work; various team members have contributed in the preparation of this report.

5.5'' x 8.5'', pgs-56, published in 2009, contribution price - 40/-
 

 

A report on Health Inequities in Maharashtra

Given the widening socio-economic inequities in the current phase of neo-liberal globalisation, the situation regarding inequities in health status and access to health care has become a matter of concern. This report consists of papers which analyse the variety of existing data from an equity lens, to explore various dimensions of health inequity in the state.

The first chapter analyses socioeconomic inequities in the state of Maharashtra looking at regions as well as sub-groups of the population, using indicators of income, poverty and educational attainment among others. It also briefly traces the declining share of agricultural sector in the state's economy and looks at increasing incidence of farmers' suicides from a socio-economic as well as public health perspective.

The second chapter delineates inequities in access to health care. It gives the rank of Maharashtra across all states and union territories for access to selected healthcare services, along with selected health and nutrition outcomes. It analyses the inequities in health infrastructure, utilization of health care services and expenditure on health care in Maharashtra. The third chapter on inequities in health status gives information about inequities in morbidity, infant mortality, child mortality and life expectancy across various stratifiers such as caste, class, gender and geographical distribution. Considering the uniqueness of gender as a cross-cutting stratifier, the fourth chapter studies gender and health and healthcare access inequities. It attempts to underscore  horizontal and vertical inequities faced by women. Besides these two types of inequities faced by women, the chapter discusses the third unique inequity that women face - the additional health risks faced by them, such as gender violence of different kinds in society.

The final chapter of the report summarises the key findings emerging from the previous chapters. Time trends regarding inequities and convergence of inequities are also explored. In addition, policy recommendations have been made, pointing a direction to move towards more equitable healthcare delivery and health outcomes in Maharashtra.

8.5' x 11', pgs-140, published year- 2008, contribution price - 100/-

Anusandhan Trust

Anusandhan Trust, a public trust registered under the Bombay Public Trust Act, 1950, (Registration No: E-13480), runs two centres namely: CEHAT based in Mumbai and SATHI in Pune.
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