Web based Resources on Violence Against Women
88. Kurian, Oommen C., David Siddarth (2013). Free Medical Care to the Poor: The Case of State Aided Charitable Hospitals in Mumbai. Mumbai: CEHAT, 2013.
Charitable Trust Hospitals get various benefits from the government such as land, electricity at subsidised rates, concessions on import duty and income tax, in return for which they are expected to provide free treatment to a certain number of indigent patients. In 2005, a scheme was instituted by the high court formalising that 20 per cent beds set aside for free and concessional treatment at these hospitals. In Mumbai, these hospitals have a combined capacity of more than 1600 beds. However, it has been brought to light both by the government and the media that these hospitals routinely flout their legal obligations. Considering that charitable hospitals are key resources for provisioning of health services to an already strained public health system it is vital to ensure their accountability.This study by CEHAT intended to look at the literature on the history of state aided charitable hospitals in Mumbai, and appraise the nature of engagement between the private sector and the state aided hospitals. It critically reviewed the data submitted by the state aided charitable hospitals of Mumbai to the Charity Commissioner on free and subsidised patients, to estimate the degree of compliance to by the hospitals and also to monitor them. The study found that a substantial number of state aided charitable hospitals do not comply with the scheme, and the degree of non compliance is quite high. Most state aided charitable hospitals never allotted the mandatory 20% beds for treating the poor and instead complained that they were treating too many patients. Data reported to the Charity Commission by the state aided charitable hospitals is inadequate, inconsistent and unsystematic. Charitable hospitals predominantly treat indigent or weaker section patients at the outpatient level because outpatient (OP) admissions can be passed off as in patient (IP) admissions in the current scheme of things and frees an extra bed that can earn thousands of rupees per day. State aided charitable hospitals invariably underreported donations and bed numbers at the office of the Charity Commissioner. No matter how serious the allegations were, no kind of penalties were levied on the offending hospitals. There was not a single instance where disciplinary action was taken against an offending hospital in Mumbai.
We hope that the findings of the study would be useful in making key recommendations for effective implementation of the high court scheme, especially for guaranteeing access to the poor to the 20% beds that are set aside.
Download full report
87. Establishing a Comprehensive Health Sector Response to Sexual Assault. Mumbai: CEHAT, 77 p., 2012 [ISBN: 978-81-89042-63-9]
This report is based on the experience of establishing a comprehensive health care response to sexual assault at three public hospitals in Mumbai, in collaboration with the Municipal Corporation of Greater Mumbai. CEHAT is the first institution in India to have directly engaged with the public health sector to develop a model to respond to sexual assault. The model includes development and implementation of a gender sensitive examination proforma, operationalization of informed consent and provision of medical care along with crisis intervention services. The report presents ways in which such a model can be run within the existing resources of the hospital.
The report presents ways in which health professionals were equipped to provide emergency health care, recognize voluntary reporting by survivors to hospitals and document sexual assault related findings sensitively. The model also empowered health providers to formulate medical opinion and interpret negative medical findings. The report also presents profile of survivors and challenges faced by them in reporting sexual assault. Analysis of case records and medical records of survivors throws light on the dynamics of sexual violence, nature of health consequences and limitations of medical evidence - which have not been studied to a great extent in the Indian context. Specific recommendations for different agencies such as child welfare institutions , police machinery , community based organisations and so on are discussed in order to create a multipronged approach to respond to sexual assault. Download full report
86. रेमस, प्रशांत. महाराष्ट्र राज्य आरोग्य विभागाची अर्थसंकल्पीय प्रक्रिया : एक ओळख, एक मागोवा. मुंबई : सेहत, ४९ पा., २०१२ [ISBN: 978-81-89042-61-5]
Download full report
85. Raymus, Prashant. Mapping Budget Processes in the Public Health Sector in Maharashtra. Mumbai: CEHAT, 163 p., 2012 [ISBN: 978-81-89042-62-2]