Monday, September 26, 2016

Health: A Problem of Institutional Unavailability or Structural Deficiency

In a country like India, where most part of the country, portable water is a distance dream, the linkages between the health and poverty is increasingly visible (Qadeer, 1995), the caste-class divides have been identified as key aspect of existing inequalities in access to healthcare (Baneerji, 1982). 

National Sample Survey data indicates that expenditure on health care is the second most common cause for the rural indebtedness, despite of claims of success in immunization, but 200,000 infants die every year of tetanus, almost 65 percent of all death among women are caused by disease group that are predominantly infectious in nature and only 2.5% of death are related to childbirth, 28.6 percent of death among them are caused by major infectious disease like TB, malaria, cholera, pneumonia, dysentery, jaundice and 12.5 % deaths are due to childbirth and condition associated with it. Despite this reality, the only communicable disease that is emphasized is HIV/AIDS. Even here its link with poor health system, is not adequately emphasized.

The health issue in India, specially, the women health has been recognized an important factor, in which education is positive variable for promoting better health to women. Even taking this consideration in evaluating the overall spectrum of women health, the simple conclusion is that the half of the total population of women in India would remain unhealthy and unable to cooperate because there is still half of the Indian women are not educated. The challenge in macro perspective is complex to resolve but the micro perspective also provides the complex picture but, here is the scope of possibility to understand the issue of women health in better dimension.

When we analyze the data available in the NHFS- 3 clearly shows that, there are 41% women having no education, 23% having more than 8 years of educational exposure and 14% women are in between 8 to 9 years of educational exposure. When we relate this figure with the educational attainment or completion of number of years in the educational institute with the understanding about the health related issue, the basic question comes in our mind is that is educational content really covers the topic of women health in the school in India?

The health related issues in school level educational content in India hardly provide the prevalent health challenges in the Indian society and the covering women health issues in the school or adding in the educational curriculum in India, is still a social taboo especially in the government run schools.

The quality of education is one of the major concerns in India. In the prevailing scenario, the idea of education with the better women health needs to be studied in micro and household perspective. This is one of the major indicators which shape the women health in the lifelong spectrum. The household is not simply a unit, but consists with ‘production, consumption, residence, reproduction, socialization or combination all these.

Besides these, the household is the immediate health environment of its members, who share water source, sanitation facilities, breathing space, a hearth, and other facilities’ (Meera Chaterjee, 1989). There is further differentiation within the household on the basis of gender, age, role and so on. The heterogeneity of the prevailing circumstances within a particular location has important implication for health because there is different set of standard and norm prevails in this dimension.