Centre for Enquiry Into Health and Allied Themes
Books and Report
Articles and Papers
Posters
2011
82. Kurian, Oommen C.; Wagle, Suchitra and Raymus, Prashant. Mapping the flow of user fees in a public hospital. Mumbai: CEHAT, 82 p., 2011 [ISBN : 978-81-89042-58-5]
The Maharashtra state government introduced user fees in hospitals in the nineteen eighties, and the scope and scale has been steadily increasing. In 2001, there was a substantial increase in the average user fee paid per patient at government facilities in Maharashtra). Recently, there have been proposals to increase substantially the fees charged for medical services at civic hospitals in Mumbai and also a decision to hike user fees across the state. This study was aimed at mapping the flow of user fees in a public hospital located in Mumbai. It also aimed to understand the provider's role in the process of giving waivers from user fees to the patients, and also, reimbursement of fees from Poor Box Funds to the 'needy'... Download full report
81. Contractor, Sana... [et al]. Responding to sexual assault: A study of practices of health professionals in a public hospital. Mumbai: CEHAT and New Delhi: SAMA, 58 p., 2011 [ISBN: 978-81-89042-57-8]
The study showed that there are several gaps in both the medico-legal as well as therapeutic response of the hospital to sexual assault survivors. As far as the medico-legal role of health providers is concerned, we find that there are no uniform protocols for seeking consent, history, conducting examinations or for evidence collection and hence there is a lot of variation between the practice of various doctors. There is no protocol for how, from whom and for what consent needs to be sought and coercion was evident in certain types of cases. Doctors also articulate the lack of skills vis-à-vis seeking history from children and building rapport with survivors which serves as a barrier to eliciting thorough history. The study also suggests that health care providers, in cases of sexual assault, perceive their role to be largely medico-legal rather than therapeutic... Download full report
80. Pradhan, Anagha and Shaikh, Tayyaba. Living on the Margins: Prawn Harvesters from Little Rann of Kutch (An Exploratory Study of Health Status). Gujarat: Anandi and Mumbai: CEHAT, 114 p., 2011 [ISBN: 978-81-89042-56-1].
Prawn harvesters from the Little Rann of Kutch, Gujarat, largely members of the Miyana community, are seasonal migrants from along the coastal areas of Gujarat, who engage in monsoon fishery. Unlike the salt pan workers with whom they share the geographical area, the prawn harvesters remain to be a relatively poorly documented group.
The prawn harvester community's marginalisation was first noticed in 2001 when the local NGOs reached out to offer relief after the earthquake that shook Gujarat. Total absence of basic amenities and apathetic attitude of the public sector was apparent. Subsequent explorations in 2009 by ANANDI revealed very high morbidity especially among neonates and infants. However health needs of the population remained unexplored.
The present exploratory study conducted by CEHAT in collaboration with ANANDI which has a strong presence among the prawn harvesters; is an attempt to document the socio-economic and health condition of the prawn harvesters at temporary settlements along the coast... Download full report
79. Dantas, Anandi. Mapping of Urban Health Facilities in Maharashtra. Mumbai: CEHAT, 74 p., 2011 [ISBN: 978-81-89042-55-4]
The present study examined the spatial growth of public and registered private health facilities in selected cities of Maharashtra. The mapping method used in the study has been really useful in highlighting the availability of private/public facilities in these cities. We found clusters of private hospitals in the city centres, with the urban poor completely excluded. The study highlights an urgent need for a norm for location / distribution of private hospitals within the city to facilitate a more equitable distribution of health services... Download full report
78. Bhate-Deosthali, Padma and Khatri, Ritu. Healthcare in the Private Sector: A Study of Private Hospitals in Maharashtra. Mumbai: CEHAT, xv,136 p., 2011 [ISBN: 978-81-89042-54-7]
The study was conducted across 261 private hospitals from 10 districts of the state, Nashik, Nandurbar, Pune, Satara, Thane, Ratnagiri, Osmanabad, Aurangabad, Amravati and Gadchiroli. Greater Mumbai was included for its unique features of complete urbanization, rapid expansion of the private medical sector, the huge population base with a high standard of living and very high real estate prices. The sample included 45 hospitals from Mumbai, 185 from developed districts and 31 from less developed districts. Download full report...
2010
77. Deosthali, Padma and Rege, Sangeeta. Feminist Response to Attempted Suicide: A Model for Public Health Intervention. Working Paper No. 2. Mumbai: CEHAT, 36 p., 2010 [ISBN: 978-81-89042-53-0]
Dilaasa, India's first hospital based crisis centre was established to address Domestic Violence and provide services to women within the hospital itself. This counselling endeavour brought to light that several women admitted for "accidental consumption of poison" had essentially attempted suicide, the underlying reason being Domestic violence. In order to address this issue, the centre evolved a counselling model which was informed by feminist principles that challenged the main stream psychiatric model of labeling women as involved in "deliberate self harm" or indulging in "impulsive behaviour" but rather as a reaction to an extremely unbearable situation. This paper presents the feminist counselling methodology and illustrates it with examples from the counselling practice. Thus it makes a case for including a feminist counselling approach in public hospitals to the issue of attempted suicides in women... Fulltext Publication
76. Rege, Sangeeta. Guidelines for Counselling Women Facing Violence. Mumbai: CEHAT, 48 p., 2010
These guidelines are primarily meant for enhancing skills and attitudes of those dealing with Violence against Women at the hospital setup but would be useful to others too. These guidelines provide a perspective on the issue and also has real life examples. These guidelines are developed from the feminist perspective the counselling would enable the women to understand the cause of violence lies external to them and the root of violence are based in patriarchy... Fulltext Publication
75. Barai – Jaitly, Tejal. National conference report: Emerging Health Care Models: Engaging the Private Health Sector, 25th – 26th September 2009 YMCA. Mumbai: CEHAT, vi,42 p., 2010
The national conference organised by CEHAT in September 2009 was an attempt to create a forum for debate on PPPs based on evidence from the ground. With 70 participants at the conference that comprised of research scholars, health activists and government officials, the discussion was indeed useful. The papers highlighted various problems with PPPs from lack of conceptual clarity on the issue to state governments jumping into PPPs without any strategic planning or feasibility study. One of the most critical issues that came up was lumping of for profit and not for-profit organisations as the private sector as the values and modes of operation are very different for this... Fulltext Publication
74. Dilaasa crisis intervention department for women: a report. Mumbai: CEHAT, 14 p., 2010
Dilaasa was set up in the year 2001 at the K. B. Bhabha Hospital, Bandra as a collaboration between Municipal Corporation Greater Mumbai (MCGM) and Centre for Enquiry into Health and Allied Themes (CEHAT). Dilaasa, which is a hospital based crisis centre, was set up in order to provide the much needed psychosocial support to women reporting domestic violence at Municipal hospitals. It is India’s first hospital based crisis centre for women facing domestic violence... Fulltext Publication
73. Manual for medical examination of sexual assault. Mumbai: CEHAT, x,58 p., 2010 [ISBN: 978-81-89-042-51-6]
This manual has been written based on the experiences of a pilot intervention for developing a comprehensive health care response to sexual assault in two public hospitals in Mumbai.
The manual is an important contribution to strengthening the knowledge and understanding of providers in India on how to respond to sexual assault survivors. It should contribute to better care and better outcomes for victims/survivors, who are primarily women and children. The encounter with the health provider can contribute to the healing process or conversely can be an experience of revictimization. The more providers understand the issues surrounding sexual violence, and the psychological and physical needs of survivors and are able to provide the basic care and psychosocial support, and carry out a sensitive forensic examination when appropriate, the more likely they can help the survivor in the healing process. Where this is not possible, clear referral pathways should be established to ensure survivors can access the necessary care and support... Download Report
72. Jagadish, N.; Deosthali, Padma; Contractor, Sana; Rege, Sangeeta and Malik, Seema. Comprehensive health sector response to sexual assault does the Delhi high court judgment pave the way? Working Paper No. 1. Mumbai: CEHAT, 16 p., 2010 [ISBN: 978-81-89042-50-9]
This first paper in the CEHAT Working Papers series draws from its collective action research experience over the years in addressing the issue of sexual assault. The Paper presents its reasoned conviction on the importance of a multi-sectoral approach to the issue particularly in the context of the Delhi High Court mandate on the responsibilities of the many agencies involved in dealing with incidents of sexual assault. Even as it underlines the fact that only such an approach can make for a humane and effective response to cases of sexual assault, it makes a case for further research on the modalities of expanding the scope of the judicial mandate... Download
71. Rege, Sangeeta; Deosthali, Padma and Contractor, Qudsiya. Challenges in domestic violence counseling: a casebook. Mumbai: CEHAT, viii, 40 p., 2010 [ISBN: 978-81-89042-53-0]
This case book presents 15 narratives bringing forth fairly common but some of the most complex real-life scenarios in the lives of women’s facing domestic violence. Each narrative has woven together the case scenario as it developed and counsellor’s response to the woman concerned to the unfolding of complex issues with ethics at the centre stage. The perspectives are that of counsellors as they grappled to resolve the ethical challenges involved. Download full report...
2009
70. Khatri, Ritu. Accreditation initiative for regulation of private health sector. Mumbai: CEHAT, 23 p., 2009
69. Pitre, Amita and Pandey, Meenu. Response of health system to sexual violence: study of six health facilities in two districts of Maharashtra. Mumbai: CEHAT, x,110 p., 2009
This study focuses on the response of the public health system to sexual violence. This exploratory study is done in six health facilities at various levels of the public health system in two districts of Maharashtra, India it describes the procedures followed in the public health system for women and children who have been subject to sexual assault, and analyses them from a gender perspective. It also attempts a comparative analysis of the procedures, the quality of medico-legal examination and health care, organsiation of services, examination facilities, equipment, medical supplies and medicines in these facilities with the prescribed International and National norms... Download Report
2008
68. Burte, Aruna. Breaking the Culture of Silence: Uniting to fight domestic violence. Mumbai: CEHAT, xii,75 p. 2008
‘Breaking the culture of silence’ places Domestic Violence within the context of the feminist movement of 1980s in India. It highlights the democratic and left movements that created space for raising issues related to women’s rights. This booklet is intended to capture the process that has enabled women to break the culture of silence that has hitherto surrounded their trauma... Download
2007
67. Chaterjee, Chandrima and Sheoran, Gunjan. Vulnerable Group in India. Mumbai: CEHAT, iv,28 p., May 2007. [ISBN 81-89042-52-1]
The document identifies the vulnerable groups in India, their health and human rights concerns while exploring the degree and kinds of their vulnerability vis-à-vis their location and identity. The document is based on the research on the vulnerable groups in India done through the project, Establishing Health As A Human Right. Download Document
66. Desai, Mihir and Mahabal Bali, Kamayani (eds.). Healthcare Case Law in India. Mumbai: CEHAT, vi,200 p., August 2007. [ISBN 81–89042–53-X]
This Reader mainly looks at the Constitutional recognition and judicial pronouncements. These case law form the foundation of the right to health care and can support any further public interest litigations on various other areas of public health. The attempt has also been to demystify the laws and make the information accessible to common people , so that the judgments can be used as an effective tool for demanding the right to health care. An awareness of these judgments does not mean that they will be implemented easily, but it is certainly important for further action and the evolving of future strategies, legal or otherwise, towards realizing the right to health. Download Report
65. Dutta, Indranee and Bawari, Shailly. Health and Healthcare in Assam. Mumbai: CEHAT, xviii,108 p., May 2007 [ISBN 81-89042-51-3]
Health and Healthcare in Assam; a Status Report is a comprehensive and analytical compilation of healthcare development of Assam bringing together all available information and data on health and healthcare. Download Report
64. Khanna, Akshay. The Right to Health and Sexuality. Mumbai: CEHAT, v,20 p., 2007 [ISBN: 81-89042-49-1]
This paper highlights how much the politics of sex and sexuality play a significant role in the health status of so called normal people. The paper also attempt to highlight the manner in which the conceptualization of the sexuality of the ‘general population’ as heterosexual, monogamous and marital, acts as a mechanism of exclusion and violence against those whose realities do not fit this framework. Download full document
2006
63. Chatterjee, Chandrima, B. Identities in Motion: Migration and Health in India. Background Paper Series 3. Mumbai: CEHAT, viii,41 p., October 2006. [ISBN 81-89042-40-8]
This paper addresses the issue of migration and its public health implications within the human rights framework. Migrants have always been conceptualized as problematic in the context of policies both nationally and internationally. This mindset has led to complex public health issues posed by migration. Understanding migrants' health extends to capturing the underlying determinants including adequate nutrition, housing, healthy environment, and occupational conditions, access to health related education and information as well as access to health care and education. Healthcare of migrants has suffered due to the presence of divergent models of how and when nations are responsible for the health and safety of individuals. The most important factor that separates the rights from being realized is the gross underestimation of migrants both at origin and destination. Download full report
62. Contractor, Qudsiya; Madhiwalla, Neha and Gopal, Meena Uprooted Homes Uprooted Lives: A Study of the Impact of Involuntary Resettlement of a Slum Community in Mumbai. Mumbai: CEHAT, 267 p., 2006 [ISBN 81-89042-43-2]
This report has revealed the impact of involuntary resettlement of a slum community in Mumbai. This study attempts to capture the nuances of the social experience of resettlement and reflects on its consequences. The issues highlighted in this report pertaining to resettlement are health, education, water, employment and social life from a human rights perspective. Involuntary resettlement most certainly means the disruption of an entire way of life and clearly constitutes a humanitarian crisis. The experience clearly shows that resettlements in the manner in which it has been conducted, violates the basic rights of the people.Download full document
61. Contractor, Qudsiya; Madhiwalla, Neha and Gopal, Meena Uprooted Homes Uprooted Lives: Key Findings of a Study on the Impact of Involuntary Resettlement on a Slum Community in Mumbai. Mumbai: CEHAT, 38 p., 2006
This report is a synopsis of key findings of the study on the impact of involuntary resettlement of a slum community in Mumbai. The key findings reveal the hardships that the community has to face due to its resettlement leading to several problems such as loss of employment, poor enrolment in educational institutes due to lack of schools, health disorders – physical and mental and difficulty in accessing public health facilities and impact on women. The findings show that those resettled have very little bargaining power to influence decisions in situations of urban relocation that violate their very rights to citizenship apart from the basic rights to shelter, livelihood, education, health care and a life of dignity.download full reportDownload full document
60. Chaudhari, Leni. Disability, Health and Human Rights. Background Paper Series. Mumbai: CEHAT, v,44 p., 2006 [ISBN: 81-89042-48-3]
This paper addresses the issue of disability and its public health implications within the human rights framework. It also throws light on people with physical disabilities at least get noticed but those with mental illness not only suffer from physical problems but also bear the brunt of social ostracism and stigma. November 2006. Download Report
59. Mishra, Manasee. Gendered Vulnerabilities: Women's Health and Access to Healthcare in India. Background Paper Series 1. Mumbai: CEHAT, vii,56 p., July 2006. [ISBN 81-89042-45-9]
Indian society has remained deeply entrenched by the patriarchal norms and values. Needs of women emerge and progress through the life cycle; from childhood to adolescent to womanhood. Women's health and access to health care in background of such complexities, poses a challenge. This paper highlights the vulnerability of Indian women with respect to there health and healthcare. Any programme that aims to address women's health needs should be sensitive to such complexities in women's lives being staged on a social terrain of remarkable inequalities. Download full report Download full document
58. Rajan, Irudaya S. Population Ageing and Health in India. Background Paper Series 1. vi,37 p., July 2006 [ISBN 81-89042-44-0]
The number of elderly in the developing countries has been growing at a phenomenal; the 2001 census has shown that the elderly population of India accounted for 77 million. Main focus of this paper is on the scenario of ageing population in India, their marital status, living arrangements and dependency. Based on evidences the paper argues that some definite measures are necessary to cater to specific diseases associated with old age. There is also a need for an appropriate insurance scheme as cost of treatment of elderly is always seen as a burden on the households. Download full report
57. Vivek, Neelakantan. Tracing Human Rights in Health. Background Paper Series 4. vi,50 p., October 2006. [ISBN 81-89042-47-5]
This paper is an endeavor to situate the evolution of right to health in a historical context. It highlights the debates within the newly emergent discipline of Health & human Rights. Paper has sections on genesis of public health & human rights, justifiability of health rights from the International Law point of view, human rights issues affecting the enjoyment of health right, experience of developing countries and India in implementing the health right. The conclusion reflects on the aspect of operationalizing right to health Movement. Download full document
2005
56. Mahabal Bali, Kamayani; Rashmi and Pankaja (Comp.). Monitoring of Pre-natal Diagnosis Technique Act –1994 As Amended in 2003: Towards a National Campaign Against Sex Selection. Mumbai: CEHAT, iv,120 p., October 2005.
The misuse of pre-natal diagnostic techniques for the purpose of sex selection and sex-determination has led to decline in the country's female population. The legislation which prohibits sex-selection and regulates pre-natal diagnostic testing is the Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act 1994 (The PNDT Act) as amended in 2003. A National Consultation on the monitoring of the PNDT Act, organised by CEHAT, was held between November 27th and 28th, 2004 following the Supreme Court's judgment on the Act. This document is the compilation of the presentations made during this consultation on the status of implementation of PNDT in different parts of India. It is useful for those who are fighting to save the missing girls.
55. Burte, Aruna; Rege, Sangeeta and Deosthali, Padma. Choosing to Live: Guidelines for Suicide Prevention Counselling in Domestic Violence. Mumbai: CEHAT, vi,57 p. September 2005.
Choosing to live is the message underlined in the guidelines compiled for preventing suicides due to domestic violence. The book provides an in-depth understanding to suicidal tendencies, reasons or causes of suicides, means adopted for committing suicides, efforts to prevent such incidences by recognizing risk factors, consequences of such actions and psychological impact of domestic violence. The guidelines for effective counselling and techniques needed for counselling are helpful to those who want to reach out to persons suffering from such tendencies. Download full report Download full document
54. Deosthali, Padma; Maghnani, Purnima and Malik, Seema. Establishing Dilaasa: Documenting the Challenges. Mumbai: CEHAT, vi,43 p., 2005.
Dilaasa is the first hospital-based crisis centre in India for women survivors of domestic violence. It provides social and psychological support to women facing domestic violence. This publication is an effort made towards documenting various challenges posing Dilaasa while it was being established. The chapters such as Dilaasa's Model of Collaboration, Formative Period, Counselling Model and Strategies, Training Model and Strategies and Lessons Learnt and Recommendations consist of detailed information of Dilaasa's development. These experiences are of immense importance to those who want to set up similar centres for victims of domestic violence. Download report
53. Duggal, Ravi; Dilip, T. R. and Raymus, Prashant. Health and Healthcare in Maharashtra: A Status Report. Mumbai: CEHAT, xiv, 61 p., 2005. [ISBN 81-89042-41-6]
Health and Healthcare in Maharashtra – A Status Report is a comprehensive and analytical compilation of healthcare development of Maharashtra bringing together all available information and data on health and healthcare. The book has six chapters which focus on socio-economic and demographic profile of Maharashtra, the organisational structure and systems of public health care services at various levels in urban as well as rural areas, the physical infrastructure for delivery of health care services and the wide rural-urban disparity in access to these services, review of healthcare facilities available in public sector in the state, analysis of declining public expenditure on health care services including curative care as well as preventive and promotive programmes and some indicators of health status such as infant mortality, child mortality, life expectancy, morbidity and hospitalisation, nutritional status, water supply and sanitation in Maharashtra. The discussion in all chapters is analytic and backed by strong evidence in 46 tables with time-series data on a wide range of health and related issues. Download Report
52. Gangolli, Leena V; Duggal, Ravi and Shukla, Abhay. Review of Health Care in India. Mumbai: CEHAT, 400 p., January 2005. [ISBN 81-89042-40-8]
This volume contains 18 chapters and discusses such varied topics ranging from the state of the preventive health and nutritional services for children to the community health worker programme and the public health system. In addition to the articles, the book contains an appendix of statistical data, a valuable tool for researchers and activists. Download full document
51. Mishra, Manasee and Raymus, Prashant. Health Facilities in Jalna: A Study of distribution, capacities and services offered in a district in Maharashtra, Report submitted to National Commission on Macro Economic and Health, Ministry of Health and Family Welfare, Government of India. Mumbai: CEHAT, iv,71 p., December 2005.
This study on issues related to health systems and financing by mapping health care facilities in Jalna district of Maharashtra was undertaken as part of an 8 State multi-centric study. The objective of the study was to collect information on all health facilities run by qualified health professionals in the district with respect to their infrastructure capacities, services offered, referral patterns, human resources and the fee charged for selected services. This study will contribute to the promotion of health systems reform strategy of the Government of India.Download full document
50. Saha, Shelley; Duggal, Ravi and Mishra, Manasee. Abortion in Maharashtra: Incidence, Care and Cost. Mumbai: CEHAT, xiii, 126 p., January 2005. [ISBN 81-89042-32-7]
This report consists of findings of one of the two household based studies conducted under Abortion Assessment Project India (AAP-I) in Maharashtra. The main objective of the survey was to study pregnancy outcome analytically in the state with a focus on abortion incidence, care received and costs incurred. The study aims at providing inputs to society at large and to different stakeholders including policy makers to facilitate women's access to safe, legal and affordable abortion care services.Download full document
49. Swaminathan, Padmini (Ed.). Trapped Into Living: Women's Work Environment and their Perceptions of Health. Mumbai: CEHAT, 296 p., March 2005 [ISBN 81-89042-31-9]
This book covers different arena of women's work – women as industrial workers in informal sector, women workers in the growing export-oriented cultivation of grapes and women in urban slums forced into home-based work largely because of decline in traditional manufacturing activities. In this book attempt has been made to map multidimensional nature of women's work, address the contexts in which such work is carried out, bring together women's perceptions of their well-being and analyse these perceptions for their links between 'work' and 'health'.
Though the case studies do not directly show linkages to globalisation, they do show the adverse effect of larger changes in the economy affecting their lives. This book makes an attempt to bring out various nuances in the issues relating to the changing socio- economic scenario rendering the poor and women in particular – more vulnerable.Download full document
2004
48. Bandewar, Sunita; Saha, Shelley and Khaire, Bhagyashree. Research Ethics in Practice: A Documentation of Study Design and Methodology of Abortion in Maharashtra: Incidence, Care and Cost. Mumbai: CEHAT, xiv,262 p., December 2004. [ISBN 81-89042-33-5]
This report documents in detail the processes involved in large-scale community-based health surveys in general and abortion incidence surveys in particular. The methodological issues in undertaking such research are discussed thread bear with a critical perspective. This publication is a unique documentation in conduct of research, which will benefit tremendously the research community undertaking such studies.
47. Report of the National Workshop on Right to Health Care, September 5, 2003 and National Consultation on Health Care as Human Right, September 6, 2003. Mumbai: CEHAT, ii, 21 p., January 2004
The report consists of the proceeding of the workshop on right to health care and Health care as human right. The workshop included a series of presentations, which provide the background to the issue of health care as a human right, and also looked at key elements of health care for most vulnerable groups, women, children, adivasisi, displaced people, communities under conflict, people affected by HIV.
46. Right to Health Care: Moving From Idea to Reality. Mumbai: CEHAT, iv,119 p., January 2004 [ISBN 81-89042-28-9]
This report consists of the proceedings of the seminar held at the Asian Social Forum, Hyderabad. It contains presentation and background papers on access to quality of health care, which were presented at the seminar. The seminar emphasized that access to quality of health care is not only a human need, a right of citizenship and a public good, but it is also a pre-requisite to good health, which is essential to achieve and enjoy fruits of equitable development...Download report
45. CEHAT and Healthwatch Trust Abortion Assessment Project-India: Research Summaries and Abstracts (Including complete reports and papers on CD-ROM). Mumbai: CEHAT, 136 p., December 2004 [ISBN 81-89042-36-X]
This report contains summaries of all research studies and papers written under the aegis of the AAP- India project. Abortion is the prime health concern of women but it is increasingly being governed by patriarchal interests, which more often curb the freedom of women to seek abortion as a right. Given the official perspective of understanding abortion within the concept of contraception, it is important to review abortion and abortion practices in India.
This summary report also includes a CD, which were produced under this project. The CD also includes press clippings related to AAP- India project. A film on Abortion produced by CEHAT is also included. Download full document
44. Process Documentation of Training of Trainers. Mumbai: CEHAT, xx,134 p., January 2004. [ISBN 81-89042-26-2]
This document gives a detailed documentation of the training sessions that were undertaken to train the hospital staff on domestic violence as a health issue, gender and violence and role of health care professionals in responding to domestic violence. This documentation of the process of training hospital staff as trainers will be a useful resource for those endeavoring to sensitize the health system.
43. Duggal, Ravi and Barge, Sandhya. Abortion Services in India: Report of a Multicentric Enquiry. Mumbai: CEHAT, 78 p., December 2004. [ISBN 81-89042-34-3]
This study is the synthesis report derived from state level studies of providers of abortion services. This multicentric study using standardised methodology and protocols was conducted in six states and within each state 2 districts were covered. The study is a comprehensive enquiry into the various dimension of provision of abortion services. Download Report
42. Hirve, Siddhivinayak. Abortion Policy in India: Lacunae and Future Challenges. Mumbai: CEHAT, 88 p., May 2004. [ISBN 81-89042-30-0]
The publication constitutes the “Policy Review” component of the AAP-India project. The paper analytically reviews abortion legislation and related policy implications, including the recent amendments and the complexities arising due to the PNDT Act. The paper concludes with a discussion on opportunities for change and possible advocacy issues to bring abortion policy within the rights domain. Download full document
41. Khot, Anagha; Menon, Sumita and Dilip, T. R. Domestic Violence: Levels, Correlates, Causes, Impact and Response: A Community Based Study of Married Women from Mumbai Slums. Mumbai: CEHAT, 62 p., June 2004. [ISBN 81-89042-29-7]
This study brings out clear evidence of wide-spread prevalence of domestic violence within the community, looks at the reasons for the violence and explores what women do to seek help to come out of such a situation. The scope of this study was limited to ever-married women and to violence within marital relationships. Despite its specific limited scope, this research is a significant contribution to the literature on domestic violence in India. Download full document
2003
40. Anand, Anita. Sexuality, Abortion and the Media: A Review of Adolescent Concerns. x,22 p., September 2003. [ISBN 81-89042-19-X]
This paper throws light on the adolescent sexuality, whether adolescents are practicing safe sex, girls and young women are experiencing unwanted pregnancies? Where they are going for termination of pregnancies. How today's' adolescents perceive their sexual needs and what are their sources of information and levels of awareness? How much does the media influence their sexual attitudes and how does media reflect adolescent attitudes? Download full document
39. Barnes, Lindsay. Abortion Options for Rural Women: Case Studies from the Villages of Bokaro District, Jharkhand. Mumbai, CEHAT, viii,20 p., September 2003. [ISBN 81-89042-18-1]
This paper aimed to document poor, rural-women's experience of abortion in a backward part of the Bokaro district in Jharkhand. The paper highlights the total lack of accessible, affordable and safe abortion services. The study also shows that in a system dominated by private practitioners, abortion care becomes a lucrative source of profit and women's overall health and well-being is a low priority. Download full report
38. Batra, Sangeeta and Rabindranathan, Sunanda. Abortion Training in India: A Long Way to Go. Mumbai: CEHAT, x, 18 p., October 2003. [ISBN 81-89042-23-8]
This paper looks at the current state of abortion training in India, tracing its evolution from the earlier system to the recent Reproductive and Child Health (RCH) Program. The number of training sites is inadequate to meet training needs. There are gaps in the training system that need to be covered to make the program a success. The paper recommends that there should be change at both the policy and implementation level. Download full document
37. Contractor, Qudsiya; Menon, Sumita and Duggal, Ravi. Sex Selection Issues & Concerns: A Compilation of Writings. Mumbai: CEHAT, iv, 188 p., August 2003. [ISBN 81-89042-16-5]
This document is a collection of papers, articles and news reports on the issue of Sex Selection. The purpose of the compilation is to bring together various points of view and voices that have shaped the sex selection debate. The document has four sections first, sex selection and the campaign, second, the role of sate and the law, third, social impact of sex selection practice and the political economy of sex selection.
36. Dilip, T. R. and Duggal, Ravi. Demand for a Public Health Services in Mumbai. Mumbai: CEHAT, viii,51 p., June 2003. [ISBN 81-89042-15-7]
The report is based on a need-assessment survey conducted in connection with the BMCs plan to set up a municipal general hospital in one of its ward. The study was able to bring out the utility of public health care services in this area and to find out how the population copes with their health care needs when public health care services are not available in their locality. The study recommends that the BMC must go ahead and set up the proposed hospital at the specified site. Also, the number of dispensaries should be increased and to strengthen the existing primary health care system, health posts and dispensaries must be combined to provide integrated primary care. Download full document
35. Ghosh, Swati. Professional Abortion Seekers: The Sex - of Kolkata. Mumbai: CEHAT, vii,20 p., October 2003. [ISBN 81-89042- 24-6]
This paper is on the practice of abortion and prevention of pregnancy among the sex-workers in Kolkata. The paper is based on in-depth personal interview of brothel-based sex-workers, information regarding abortion services, contraceptive devices and childbirth are collected from traditional red light areas. The paper also examines the access to abortion services, prevailing patterns of contraceptive use and family structure of the sex workers. Download full document
34. Mallik, Rupsa. Negative Choice Sex Determination and Sex Selective Abortion in India. Mumbai: CEHAT, xii, 28 p., September 2003. [ISBN 81-89042-21-1]
This paper is a three-part analysis of Sex determination and Sex Selective Abortion. The factors that affect the practice are son preference, growth in the political economy and diagnostic technologies and enforcement of a small family norm. The second section talks about various campaigns undertaken to advocate for laws that regulate diagnosic technologies and ban sex determination. The third section talks about the various debates between activists who spearheaded the campaign and the role of the medical community. Download full document
33. Mishra, U. S. and Dilip, T. R. Assessing Potential for Induced Abortion Among Indian Women. Mumbai: CEHAT, x,18 p., November 2003. [ISBN 81-89042-25-4]
This paper is based on National Family Health Survey-II (1898-99) data and is intended to provide an indirect assessment of the magnitude of induced abortion practice within marriage in India in order to attain the desired sex composition of children and to avoid unplanned pregnancies This paper also highlights the high level of use of abortions as a contraceptive method in the country and the serious implications for health policy in general and women's well being in particular. Download full document
32. Saha, Shelley. Methodological Issues in Abortion Estimation., Mumbai: CEHAT, xii, 24 p., October 2003. [ISBN 81-89042-22-X]
This paper reviews the methodological issues that are peculiar to abortion estimation using community-based surveys. Many of the abortion estimation surveys suffer from reporting errors, both non-intentional and intentional. This review suggests that there is a need that surveys undertaken to estimate abortion rate should be sensitive to elicit better information. Besides survey questionnaire, other data collection methods like use of randomized response technique or self-administered questionnaire have also been reviewed. The paper concludes with information on further strategies that might be adopted for future research on this subject. Download full document
31. Schuftan, Claudio. Health and Human Rights Readers. Mumbai: CEHAT, viii,111 p., September 2003 [ISBN 81-89042-17-3]
This book is a compilation of fifty-two 'Readers in Human Rights', The Readers discuss a wide range of issues such as Human Rights based planning; the role of the state, UN and civil society; Health sector reform and the unmet needs of the poor; Health Care Financing; vulnerability, access and discrimination; the role of NGOs; globalization, health rights and health sector reform; the right to adequate nutrition; the difference between project and process; and health rights and the law. The informative would be useful to health activists, health professionals and health sector NGO workers who seek a clearer grasp of health rights and a stimulating guide to action.
30. Sundar, Ramamani. Abortion Costs and Financing: A Review. Mumbai: CEHAT, x,30 p., September 2003. [ISBN 81-89042-20-3]
This paper looks at the cost of abortion. A woman undergoing abortion has to incur expenditure in various forms, both direct and indirect. A review of the available literature indicates that there is very limited data on the cost of abortion in the country and hence there is a increased need to do research in this critical area of financing for abortion care. There is not only a need to know the abortion charges at the various types of MTP centers, but also the household dynamics like the source of financing the abortion etc. Also, a much better regulation of private medical practitioners as well as dissemination of information to them so that women seeking an abortion are not exploited financially. Download full document
2002
29. Balaji, Rajeswari and Nandraj, Sunil. Public Healthcare Facilities in Mumbai. Mumbai: CEHAT, vi,116 p., June 2002. [ISBN 81-89042-12-2]
This directory is most useful to lay people wanting to avail health care services that are available within Mumbai municipal corporation area. This directory gives information about various services provided by the hospitals and maternity homes, availability of specialists, number of beds, addresses, contact phone numbers, landmark, nearest railway station, bus numbers, visiting hours, blood bank, ambulance, hearse services etc. Download full document
28. Genocide in Gujarat 2002: Impact on Health and Women. Mumbai: CEHAT, vi,214 p., May 2002
This document is a compilation of selected and relevant newspaper clippings, articles and fact-findings reports of various agencies such as NHRC, MFC etc. on communal violence in Gujarat of February 2002, popularly known as Genocide in Gujarat.
27. Health Panorama No.3 - Health Policy Making in India. iv,151 p., January 2002
This is an endeavour to put together research papers, articles that can facilitate understanding of various issues on health policy. Present issue carries draft of National Policy on Indian Systems of Medicine... [[Download report->
26. Health Panorama No. 4 - Private Health Sector in India. iv,110 p., April 2002
This is fourth volume of Health Panorama devoted to private health sector in India. It is useful compilation of well-known articles, research papers, newspaper clippings and bibliography on private health sector. This document also carries Bombay Nursing Homes Registrations Act... Download report
25. Jesani, Amar and Madhiwalla, Neha. Gender and Medical Education : Report of National Consultation and Background Material. viii,136 p., June 2002 [ISBN 81-89042-11-4]
The report of the national consultation on gender and medical education and background material is the content of this document.
24. Bart, Johnston Heidi. Abortion Practice in India: A Review of Literature. viii,24 p., May 2002 [ISBN 81-89042-10-6]
The first paper in this series advocates need for expanded community-based education to address issues of women's reproductive health specifically and the issues of women's right to high quality health care services in general. This literature review draws attention to the fact that abortion and associated morbidity and mortality from unsafe abortion are common problem and need to be given top priority for safe motherhood issues in India. Download full document
23. Bandewar, Sunita, Sumant, Madhuri. Quality of Abortion Care: A Reality. iv,216 p., 2002 [ISBN 81-89042-13-0]
The report is based on the study of the abortion care facilities and providers in two districts of Maharashtra. The study covered registered and non-registered, government as well as private abortion care facilities in nine tehsils of two districts. The study found that the quality of abortion services available to women substandard. The poor implementation of the law and rules for quality care by the government and low compliance with the legislations by the medical professionals. Quality of Abortion care should be a part of the strategy of general improvement in the health care delivery system.
2001
22. Health Panorama No. 2 - Abortions in India. iv,88 p., June 2001
This is a systematic compilation of articles on abortion. Selected newspaper clippings and abortion statistics indicates current public interests on this issue. This document carries MTP Act 1971.
21. Nandraj, Sunil; Madhiwalla, Neha; Sinha, Roopashri and Jesani, Amar. Women and Health Care in Mumbai: A Study of Morbidity, Utilisation and Expenditure on Health Care in the Households of the Metropolis. 77 p., September 2001 [ISBN 81-89042-09-2]
The study report made an attempt to understand and document analytically the perceived morbidity patterns, the problems faced by women in accessing health care facilities in connection with their utilization and expenditure incurred by households on women's health care with special reference to socio-economic differentials. Download full report
20. Nandraj, Sunil; Muraleedharan, V. R.; Baru, Rama; Quadeer, Imrana and Priya, Ritu. Private Health Sector in India: Review and Annotated Bibliography. Mumbai: CEHAT, 179 p., February 2001 [ISBN 81-89042-08-4]
Systematic review of the available empirical studies on the private health sector in India. Private health sector is presented highlighting accessibility, affordability, quality of health care and policy intervention. This book appended by annotated bibliography of about 85 documents. Download full report
2000
19. Bandewar, Sunita and Saha, Shelley. Studies in Reproductive Health Services in India (1990-1991): Selected Annotated Bibliography. Mumbai: CEHAT, 165 p., December 2000 [ISBN 81-89042-07-6]
References cited in this compilation are helpful to identify research gaps and sharpen the perspective for future research in reproductive health. This volume is must for researchers, health activists, programme implementation agencies working on reproductive health care and is an indispensable reference tool born out of the rich experience of the compilers of this study. Download full report
18. Health Panorama No.1- Violence: A Health Issue. Mumbai: CEHAT, viii,72 p., January 2000.
This is first volume in Health Panorama series devoted to burning topic “Domestic Violence”. The entire volume is dealing with various facts of domestic violence such as socio-cultural, political and economical.
17. Jesani, Amar and Barai, Tejal. (Coordination and Research, NCESSRH) Ethical Guidelines for Social Science Research in Health. Mumbai: CEHAT, 35 p., November 2000 [ISBN 81-89042-27-0]
This is the first comprehensive document on ethical principals and guidelines for conducting research in medical sciences as well as social science research in health related issues. It has thrown light on rights and responsibilities of researchers, reviewers, editors, organizations, funding agencies and publishers that are important role players in dissemination of information obtained through research. Download full report
16. Madhiwalla, Neha; Nandraj, Sunil and Sinha, Roopashri. Health, Households and Women's Lives: A Study of Illness and Childbearing Among Women in Nasik District, Maharashtra. Mumbai: CEHAT, 141 p., June 2000 [ISBN 81-89042-06-0]
This report covers most of the health problems of women in rural as well as urban areas in Nasik district of western Maharashtra. The study throws light on health care services, health expenditure, across gender, age and other socially important factors. Download full report
1999
15. Iyer, Aditi and Jesani, Amar. Medical Ethics: For Self-Regulation of Medical Profession and Practice. Mumbai: CEHAT, 41 p., October 1999 (also published as a book by VHAI)
This report critically examines the meaning of self-regulation, the code of ethics, the evolution of laws establishing council for health professionals in developed countries and India. Download Report
14. Nandraj, Sunil; Khot, Anagha and Menon, Sumita. Accreditation of Hospital: Breaking Boundaries in Health Care. Mumbai: CEHAT, 132 p., January 1999 [ISBN 81-89042-02-5]
This book argues importance of regularization, standarization and accreditation of health care facilities through voluntary process. Download Report
13. Shaheen, Kiran. Portrayal of Police Torture in Hindi Films and Television Serials and its Impact on Children. Mumbai: CEHAT, 48 p., 1999.
Very important study by media experts and NGO's attempts the impact of media violence on children, particularly in the Indian context. Report highlights police torture in films and television serials and its impact on children. Download Report
12. Access to 'Safe and Legal Abortion' Issues and Concerns: Summary Report of the State Level Consultation. Mumbai: CEHAT, viii,16 p., 1998
This report is a summary of the state level consultation highlighting the issues and concerns related to access to safe and legal abortion care with reference to the MTP Act. Recommendations evolved through the discussion for improving the prevailing status of abortion care during this consultation are also documented in this report. Download full report
1998
11. D'Souza, Dilip. Rehabilitation, Eradication, Both or None? Mumbai: CEHAT, 48 p., February 1998
The survey report is a preliminary examination of the human rights scenario and torture in the progressive state like Maharashtra in general and Mumbai city in particular in order to understand need for effective treatment and rehabilitation activity of torture survivors. Download Report
10. Kulkarni, Sucha; Jesani, Amar and D'Souza, Lalitha. Sexual Assault of a Deaf Mute Juvenile in Observation Home, Umerkhadi on September 21, 1997. Mumbai: Forum Against Child Sexual Exploitation. 14 p., September 1998
An expert panel of investigators has given detailed chronology of an incident on sexual assault, which took place in observation home of Umerkhadi. The report throws light on how the unfortunate children of this country are being treated in observation homes which are established for their welfare and care in terms of poor administration, medical facilities, legal aid and procedure, carelessness about survivor, police reporting and suggested need to change in behaviour of all concerned including change in act also. Download full report
9. Report of the Regional Consultation on Responding to the Target Free Approach. Mumbai: CEHAT, 20 p., January 1997
This regional consultation report highlights on policy level foundation and its implementational effectiveness of the target free approach to reproductive and child health care, also mentioned complete revamping of health policy. The report mentions team deliberations on, role of public health workers, basic curative care, women's health, socio-economic situation, population control programme, gender sensitivity, violence, medico legal aid, role of NGOs etc.
8. Jesani, Amar; Singhi, P. C. and Prakash, Padma. Market Medicine and Malpractice. Mumbai: CEHAT and Society for Public Health Awareness and Action, 175 p., 1997 [ISBN 81-89042-00-9]
This book covers many aspects of medical malpractice those related to human rights issues through compilation of articles on medical ethics and related issues. All these articles advocates ethical responsibility of the medical profession, and draws attention to medical negligence, ethics and consumer protection. Download full report
CHAPTERWISE DOWNLOAD
CONTENTS: I. Contours of Care
II. Our Struggle III. Medical Ethics and Negligence
7. Nandraj, Sunil and Duggal, Ravi. Physical Standards in the Private Health Sector: A Case Study of Rural Maharashtra. 100 p., December 1998.
This important document has comparative analysis of various guidelines available in the government, NGO and private sector for physical standards to run the hospital / nursing homes. This report has special reference for private hospitals and nursing homes in the Satara district of Maharashtra. Report suggests minimum physical standards for hospitals and nursing homes with less than thirty beds for provision of reasonable quality of health care services of various kinds. Download full report
1996
6. Duggal, Ravi. The Private Health Sector in India: Nature, Trends and a Critique. 47 p., January 1996 (Revised May 2000, also published as a book by VHAI)
This book gives detailed analysis of a sensitive issue in the health care such as public sector, private sector and offers valuable suggestions for organising the private health care sector through public private mix and introduce participatory regulatory norms for health care services in the country. Download full report
5. Iyer, Aditi; Jesani, Amar and Karmarkar, Santosh. Patient Satisfaction in the Context of Socio-Economic Background and Basic Hospital Facilities: A Pilot Study of Indoor Patients of the Lokmanya Tilak Municipal General Hospital, Mumbai. Mumbai: CEHAT, 57 p., October 1996
This report presents the findings of a survey of indoor patients satisfaction with health care services offered as well as physical and medical facilities provided by Lokmanya Tilak Municipal General hospital, Mumbai. The study has special reference of socio-economic background of patients. Download Report
4. Jesani, Amar. Laws and Health Care Providers. Mumbai: CEHAT, 135 p., January 1996
This book aims to review analytically health laws and legislation, as they exist in India with the help of expert lawyers. This important book advocates comprehensive legislation for ensuring right to health care and universal access to health services. Download Report
3. Nandraj, Sunil and Duggal, Ravi. Financing of Disease Control Programmes in India. Mumbai: CEHAT, 55 p., February 1996
The book is useful piece of work. Disaggregated financial data analysis of major communicable diseases control programme such as Malaria, Tuberculosis, Leprosy, AIDS, Blindness, Measles, Goitre, Filaria etc. State wise health expenditure and five year plan outlay on major disease programmes in India will be useful information. The valuable data will be of great use to health economists as well as policy makers also. Download full report
1993
2. Jesani, Amar; Mary, Alphonse and Aloysius, D'sa. Mumbai Riots, January 1993: A Selected Documentation From a Section of the Print Media. Mumbai: Solidarity for Justice, 180 p., March 1993
This document is a thematic compilation of selected and relevant newspaper clippings and articles on Bombay riots of January 1993.
1992
1. Oza, Bhushan… [et al.]. An Enquiry by the Fact Finding Team Into the Police Firing that led to the Killing of a Tribal and Caused Injury to Others in Dahanu Taluka, Thane District, Maharashtra. Mumbai: Fact Finding Team, 17 p., July 1992
This fact finding report gives detailed information about police firing which took place in tribal village Vartapada and Raitali of Dahanu taluka on 5th June of 1992.