Books and reports are outcome of CEHAT's own research projects which
have focused on relevant research and has endeavoured to inform
campaigns around social issues. These are in the form of, research
reports, manuals, posters and guidelines.
Rege, Sangeeta; Bhate-Deosthali, Padma; Ravindran, T. K. Sundari
Published Year: 2020
This book discusses the pervasiveness of violence against women (VAW) in India and traces its evolution as a public health concern. It highlights the fundamental relationship between health and violence and identifies institutional gaps, which hinder comprehensive healthcare and support to VAW survivors.
The volume brings together in-depth case studies from various states and civil society organisations on their initiatives to help bring adequate support and health services to women affected by VAW. These include engagement with hospitals to increase awareness and sensitivity among health service providers and community-run health clinics for marginalised women. The book documents the mobilising efforts of feminists, community-based organisations, state institutions, and CSOs in developing comprehensive healthcare responses and bringing violence against women into the public health discourse. It provides insights into the lack of guidelines for responding to sexual violence in medical and nursing education, and the way that the police and the justice system function in India.
This book will be of interest to public health professionals, and students and researchers in public health, gender studies, social work, and sociology. It will also be useful for policymakers and for professionals working for thinktanks or CSOs working on developing health system responses to VAW. For More Details see
CEHAT
Published Year: 2020
Medical Providers are called in courts an expert witness in the Rape adjudication process. CEHAT closely worked with hospitals in Mumbai in implementation of a comprehensive and gender senistive response to rape survivors. If Health providers are equipped to examine and treat survivors in a comprehensive manner and also trained to present their findings in the court; this would be helpful in the survivor's quest for justice. The analysis of trial court judgements was done with that aim in mind.
Rege, Sangeeta; Bhate-Deosthali, Padma
Published Year: 2019
In Conflict in the shared household: Domestic violence and the law in India. Edited by Indira Jaising and Pinki Mathur Anurag.
Barai - Jaitly, Tejal; Bhate, Kamaxi; Kabra, Yashowardhan; Khatre, Rajesh
Published Year: 2019
Rege, Sangeeta; Bhate-Deosthali, Padma
Published Year: 2018
In Equity and access: Health care studies in India. Edited by Purendra Prasad and Amar Jesani. Oxford India studies in contemporary society
Violence is now globally recognised as a public health issue. Since women and girls all over the world are particularly vulnerable to violence, it needs to be considered as a gender issue. There are changes happening at the regional, national, and international level to extend healthcare response to different forms of violence. This article explores the prevalence of violence, and its effect on women in India. While considering the Indian legal and socio-economic context, it also discusses current practices among healthcare professionals.Effective and innovative models to engage the health sector on VAW have been described in this paper. This paper could be useful for researchers’ policy maker’s students and NGOs. This article is paper in a published book "Equity and access: Health care studies in India.” Ed. Purendra Prasad and Amar Jesani; Oxford University Press, New Delhi, India, 2018
Barai - Jaitly, Tejal; Vernekar, Durga
Published Year: 2018
WHY DO WE NEED THIS STUDY?
Resident doctors form the backbone of the Indian medical system. They are often the first point of contact with patients, caregivers, and the general public, and at the receiving end of violence directed against the medical system of late, there have been incidents of violence against resident doctors, calling for a deeper understanding of its causes, its nature, and recommendations to prevent the same.
WHAT METHODS DID WE USE?
An online survey was conducted with resident doctors of Maharashtra in March-May 2018 which explored the sociodemographic profile of doctors, the nature of violence faced or witnessed by them, the causes for the same, and recommendations for preventing such violence.
The questionnaire also provided space for qualitative responses, wherein doctors could freely shares their views about different aspects related to violence against doctors.
Rege, Sangeeta; Barai - Jaitly, Tejal
Published Year: 2018
Rege, Sangeeta; Deosthali, Padma
Published Year: 2018
In Indian feminisms: Individual and collective journeys. Edited by Poonam Kathuria and Abha Bhaiya.
CEHAT; MCGM
Published Year: 2018
CEHAT
Published Year: 2018
Rege, Sangeeta; Bhate-Deosthali, Padma; Pal, Poulomi; Bhatla, Nandita; Kashyap, Alpaxee
Published Year: 2018
Rege, Sangeeta; Bhate-Deosthali, Padma; Arora, Sanjida
Published Year: 2018
There are large number of studies on understanding the link between violence during pregnancy and maternal morbidity, mortality & poor pregnancy outcomes. Despite this, India’ efforts towards reduction of maternal mortality have not addressed the problem of domestic violence during pregnancy. The studies conducted around the globe have stressed that if health inequities have to be addressed comprehensively, there is a need to intervene with the pregnant women facing in a healthcare setting. The present study yields valuable information on the feasibility and efficacy of a counselling intervention in ANC setting. The study used a pre and post test design in which the same group of pregnant women was followed. It was carried out in two public hospitals in Mumbai. The pregnant women were screened for violence and were given counselling. The prevalence of violence during pregnancy (16.1 %) was found to be comparable to various obstetric complications that are routinely screened during ANC. Suicidal ideation during pregnancy was reported by about 29% of women. It has implication for maternal health reporting in India, which doesn’t include deaths of pregnant women due to suicide and homicide. A significant proportion of women (51%, 95% CI) took an action at individual level while 58% (95% CI) of women sought help from informal and formal support systems after intervention. The results of the study indicate positive impacts of intervention on coping and safety behavior of women. The findings suggests a routine enquiry of DV by HCPs during antenatal care. The health system provides the first opportunity for intervention and likely to be the only point of contact of women with health setting in developing countries.
Published Year: 2018
Recent acknowledgment by National Health Policy (2017) called upon the health sector to mainstream gender concerns as well as make systematic efforts to respond to VAW. It is now opportune for CEHAT to publish its course curriculum to make it accessible to all those engaged on the issue of VAW. The curriculum provides an in –depth understanding on each topic along with evidence, methodologies to conduct sessions and essential reading materials. We hope that the curriculum is useful to medical and nursing educators, civil society organisations and other professionals to use the content for training of providers.
Rege, Sangeeta; Reddy, Jagadeesh Narayana; Bhate-Deosthali, Padma
Published Year: 2018
In Breaching the citadel: The India papers I; Zubaan series on sexual violence and impunity in South Asia. Edited by Urvashi Butalia and Laxmi Murthy.
Bavadekar, Amruta; Rege, Sangeeta; Bhate-Deosthali, Padma; Arora, Sanjida ; Avalaskar, Prachi; Chavan, Rajeeta
Published Year: 2018
There are no studies on the impact of sexual violence on survivors in India. It is essential to document the life experiences of survivors post rape as this would help in understanding the impact of the incident on their health, relationships, work and the challenges faced by them after reporting rape to the police or hospital.
Rape survivors are willing to speak as they feel that it will help not only others but also in their healing process. Research reveals that two-thirds of rape victims tell someone about their experiences at some point after the assault, and that they seek support more from informal social networks (family and friends) and less formal assistance (police, clergy and doctors). Survivors anticipated that formal social system processes or their personnel could cause them further psychological harm as they may disbelieve them, blame them or interrogate them. Many did not have faith that the system could help them. They felt that perhaps they should deal with it themselves.
This research is a first that brings to the fore the voices of survivors and their families that could transform the current response to sexual violence.
Wagle, Suchitra; Shah, Nehal
Published Year: 2017
CEHAT
Published Year: 2017
Rege, Sangeeta
Published Year: 2017
CEHAT
Published Year: 2017
CEHAT
Published Year: 2017
CEHAT
Published Year: 2017
CEHAT
Published Year: 2017
CEHAT
Published Year: 2017
Rege, Sangeeta
Published Year: 2016
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CEHAT has been working towards creating awareness about violence as a health and human rights issue and also
advocating for the critical role that health professionals and health systems need to play in responding to survivors of
violence.
CEHAT; MUHS; DMER
Published Year: 2016
John, Priya; Bavadekar, Amruta; Hasnain, Ameerah; Karandikar, Asilata
Published Year: 2015
The report is based on a study conducted among medical educators in seven medical colleges in Maharashtra regarding their perceptions on the relevance of gender in medical education. The study was undertaken as a part of CEHAT’s pioneering work on the integration of gender in medical education in Maharashtra supported by DMER, MUHS and UNFPA. The study explores the perceptions of medical educators regarding social determinants of health in the medical curriculum and gender sensitivity in medical teaching and practice vis-à-vis abortion, sex selection and violence against women. The findings throw light on the dire need to infuse the medical curriculum and training with gender theory and concepts so as to ensure the creation of a gender-sensitive and socially relevant medical force in the country. Download full report
CEHAT; UNFPA
Published Year: 2015
Published Year: 2014
The nature of the health system in India is such that the primary and often the only health responder during mass emergencies is the public health sector. This makes it critical to develop systems in this sector respond from the pre-hospitalization phase right up to discharge and compensation.
Documentation, research, and sharing of the experiences, lessons and challenges related to such events is critical in policy-making and planning of hospital preparedness. However, such work today exists mainly in the international sphere with little in India despite the fact that India has had a history of responding to mass-casualty events like terrorism and riots.
During the 2008 Mumbai Terror Attacks, which left 172 dead, the hospitals that responded were the state-run public hospitals. Using in-depth interviews of the healthcare providers on duty in these hospitals during the attack, this study seeks to identify strengths and gaps in the response capacities of public hospitals in Mumbai city and the procedures that were followed in the wake of the attack. The insights it provides would be of value to the government which has continuously been trying to review and rethink its health services, administrative procedures and systems in order to keep pace with the rising health care needs of the population especially during emergencies, moving from impulsive reaction to proactive response. Download full report
Published Year: 2014
The report “Health of Muslims in Maharashtra” is an outcome of a project commissioned to CEHAT by the Maharashtra State Minorities Commission. It is based on a systematic review of existing studies and analysis of secondary data sources. What is evident is that a large percentage of Muslims in Maharashtra live in a context of alienation, deprivation and insecurity. The prejudice against the community, everyday experiences of discrimination and harassment impacts their overall well being, quality of life and access to public institutions. The poor availability of health facilities, poor access to clean drinking water and sanitation in the Muslim dominated pockets or ghettos reflects the systematic neglect by the state. Living in such conditions itself is a violation. An edited version of the report is published as chapter 7 of the Report on “Socio-economic and Educational Backwardness of Muslims in Maharashtra” published by the Government of Maharashtra. Download full report
Kurian, Oommen C; David Siddarth
Published Year: 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
Khanday, Zamrooda; Tanwar, Yavnika
Published Year: 2013
This study is an attempt to explore religion based discrimination in health facilities based on perceptions of women from different communities. The study reports that women accessing health facilities are discriminated on the basis of class, caste, language, region and religion. Health professionals and health systems need to recognize that women face multiple forms of discrimination based on caste, class and community and therefore take additional steps to ensure unbiased delivery of services.
Rege, Sangeeta; Prakash, Padma; Bhate-Deosthali, Padma
Published Year: 2013
This volume offers one of the first systematic documentations of feminist psychosocial interventions in India. It situates the issue of domestic violence in the historical context of the women’s movement, and examines institutional factors such as family and marriage that perpetuate abuse. Using extensive case studies, it discusses the methods, principles, techniques, skills and procedures followed by feminist organisations across the country, and their role in women’s empowerment.
The book will serve as a practical reference guide to practitioners such as social workers, counsellors and para-counsellors, health activists, grassroots workers, protection officers and service providers. It will also be useful to scholars and students of psychology, sociology, women’s studies, law and public policy. For More Details see
Published Year: 2012
This manual aims to equip health care workers with an appropriate understanding of sexual violence and the needs and rights of survivors of sexual violence, and to highlight the dual responsibilities-both medical and forensic-health care workers have toward survivors. Health administrators, educators, obstetricians, gynaecologists, paediatricians and forensic medical examiners to read this manual and adopt its approach in their practices. Reducing health risks faced by women and ensuring respect for the dignity and autonomy of each woman is central to the realization of the right to health. This manual provides critical support for these endeavors and is thus a welcome contribution to the promotion of women's health and the right to health in India.Download full report
Published Year: 2012
This document lays down ethical principles and guidelines (translation of these principles) to inform counselling practice in the best interest of the client. Ethical principles include Autonomy, Beneficence, Non-maleficence, Veracity and Fidelity and Justice. The guidelines have been evolved through a process of consultation with an expert committee. The purpose of this document is to sensitize counsellors, protect and promote rights of the clients; to promote standards in counselling through observation of ethics and self regulation; to improve quality and credibility of counselling, and to make ethics an integral part of counselling practice. The universality of the core principles of ethics allows the present guidelines to be used by all counsellors and stakeholders engaged in domestic violence work in general, and domestic violence counselling, in particular. These include psychologists, social workers, protection officers, community development officers, and the like; as well those involved in private practice (including the individual counsellor). Organizations or institutions that provide counselling services, education, and/or training can endorse them and, make them applicable to their staff. Download full report
Raymus, Prashant
Published Year: 2012
The Budget is an official policy document, which is indicative of the expenditure incurred and reflective of the policy priorities of the government. The budgetary processes in India are opaque and remain behind the extreme confidentiality of bureaucratic exercises. Even when accessed, the documents are not presented in a language and format that is user-friendly; the language used is too technical to understand making it difficult to comprehend. People, in general, consider the budget highly technical and very difficult, and only a miniscule proportion of the population understands the technicalities involved. Besides, the most crucial stage of the budget process, that of budget preparation does not allow any kind of participation by civil society organisations. In order to be conducive to public involvement, public understanding and involvement in the budget process is critical for ensuring that the Government is accountable to the public. This Public Expenditure Tracking Survey, conducted in two districts in Maharashtra, explores the budget process through its various stages. The findings of the study outline budgetary processes; the range of issues discussed will help the reader understand all four stages of the budget process (formulation, approval, implementation and auditing).This information on the key actors in the system will not only hold them accountable, but will also help civil society organizations identify opportunities for civic participation. Download full report
Published Year: 2012
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
Ritu Khatri; Bhate-Deosthali, Padma
Published Year: 2011
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
Dantas, Anandi
Published Year: 2011
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
Pradhan, Anagha; Shaikh, Tayyaba
Published Year: 2011
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
Sana Contractor
Published Year: 2011
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
Raymus, Prashant; Kurian, Oommen C; Suchitra Wagle
Published Year: 2011
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
Rege, Sangeeta; Deosthali, Padma; Contractor, Qudsiya
Published Year: 2010
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
Rege, Sangeeta; Sana Contractor; Deosthali, Padma; Malik, Seema; Jagadish, N.
Published Year: 2010
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 full report
Published Year: 2010
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 full report
Published Year: 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. Download full report
Barai - Jaitly, Tejal
Published Year: 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. Download full report
Ravindran, TK Sundari; Undurti, Vindhya
Published Year: 2010
Pitre, Amita; Pandey, Meenu
Published Year: 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 full report
Ritu Khatri
Published Year: 2009
Accreditation initiative for regulation of private health sector
Burte, Aruna
Published Year: 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 full report
Rege, Sangeeta
Published Year: 2008
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. Download full report
Khanna, Akshay
Published Year: 2007
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.
Dutta, Indranee; Bawari, Shailly
Published Year: 2007
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 full report
Mahabal, Kamayani Bali; Desai, Mihir
Published Year: 2007
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 full report
Chaterjee, Chandrima
Published Year: 2007
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 full report
Vivek, Neelakantan
Published Year: 2006
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 report
Rajan, Irudaya S
Published Year: 2006
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
Mishra, Manasee
Published Year: 2006
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 report
Chaudhari, Leni
Published Year: 2006
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 full report
Madhiwalla, Neha; Contractor, Qudsiya; Gopal, Meena
Published Year: 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 report
Madhiwalla, Neha; Contractor, Qudsiya; Gopal, Meena
Published Year: 2006
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 report
Chatterjee, Chandrima, B.
Published Year: 2006
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
CEHAT
Published Year: 2006
Swaminathan, Padmini
Published Year: 2005
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 report
Duggal, Ravi; Saha, Shelley; Mishra, Manasee
Published Year: 2005
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. Read more
Raymus, Prashant; Mishra, Manasee
Published Year: 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 report
Duggal, Ravi; Shukla, Abhay; Gangolli, Leena
Published Year: 2005
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. Read more
Duggal, Ravi; Dilip, T. R.; Raymus, Prashant
Published Year: 2005
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. Read more
Deosthali, Padma; Maghnani, Purnima; Malik, Seema
Published Year: 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 full report
Rege, Sangeeta; Burte, Aruna; Deosthali, Padma
Published Year: 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 report
Mahabal, Kamayani Bali; Rashmi and Pankaja
Published Year: 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.
Khot, Anagha; Menon, Sumita; Dilip, T. R.
Published Year: 2004
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. Read more
Hirve, Siddhivinayak
Published Year: 2004
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
Duggal, Ravi; Barge, Sandhya
Published Year: 2004
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. Read more
CEHAT
Published Year: 2004
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. Download full report
CEHAT; Health Watch Trust
Published Year: 2004
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 report
CEHAT; Jan Swasthya Abhiyan
Published Year: 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. Read more
Bandewar, Sunita; Saha, Shelley; Khaire, Bhagyashree
Published Year: 2004
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.
Sundar, Ramamani
Published Year: 2003
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.
Schuftan, Claudio
Published Year: 2003
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.
Saha, Shelley
Published Year: 2003
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 report
Dilip, T. R.; Mishra, U. S.
Published Year: 2003
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 report
Mallik, Rupsa
Published Year: 2003
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.
Ghosh, Swati
Published Year: 2003
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.
Duggal, Ravi; Dilip, T. R.
Published Year: 2003
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.
Duggal, Ravi; Menon, Sumita; Contractor, Qudsiya
Published Year: 2003
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.
Barnes, Lindsay
Published Year: 2003
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.
Anand, Anita
Published Year: 2003
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?
Batra, Sangeeta; Rabindranathan, Sunanda
Published Year: 2003
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.
CEHAT; NCAS; GHC
Published Year: 2003
DILAASA
Published Year: 2003
Bandewar, Sunita; Sumant, Madhuri
Published Year: 2002
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.
Bart, Johnston Heidi
Published Year: 2002
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 report
Jesani, Amar; Madhiwalla, Neha
Published Year: 2002
The report of the national consultation on gender and medical education and background material is the content of this document.
CEHAT
Published Year: 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.
CEHAT
Published Year: 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.
CEHAT
Published Year: 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.
Nandraj, Sunil; Balaji, Rajeswari
Published Year: 2002
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.
CEHAT
Published Year: 2002
Nandraj, Sunil; Baru, Rama; Muraleedharan, V. R; Quadeer, Imrana; Priya, Ritu
Published Year: 2001
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
Jesani, Amar; Nandraj, Sunil; Sinha, Roopashri; Madhiwalla, Neha
Published Year: 2001
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
CEHAT
Published Year: 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.
Nandraj, Sunil; Sinha, Roopashri; Madhiwalla, Neha
Published Year: 2000
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
Jesani, Amar; Barai, Tejal
Published Year: 2000
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
CEHAT
Published Year: 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.
Bandewar, Sunita; Saha, Shelley
Published Year: 2000
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
Shaheen, Kiran
Published Year: 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 full report
Nandraj, Sunil; Khot, Anagha; Menon, Sumita
Published Year: 1999
This book argues importance of regularization, standarization and accreditation of health care facilities through voluntary process. Download full report
Jesani, Amar; Iyer, Aditi
Published Year: 1999
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 full report
Jesani, Amar; D'Souza, Lalitha; Kulkarni, Sucha
Published Year: 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
D'Souza, Dilip
Published Year: 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 full report
CEHAT
Published Year: 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.
Nandraj, Sunil; Duggal, Ravi
Published Year: 1997
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
Jesani, Amar; Prakash, Padma; Singhi, P. C.
Published Year: 1997
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
CEHAT
Published Year: 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.
Nandraj, Sunil; Duggal, Ravi
Published Year: 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
Jesani, Amar
Published Year: 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 full report
Jesani, Amar; Iyer, Aditi; Karmarkar, Santosh
Published Year: 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 full report
Duggal, Ravi
Published Year: 1996
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
Jesani, Amar; Mary, Alphonse; Aloysius, D'sa
Published Year: 1993
This document is a thematic compilation of selected and relevant newspaper clippings and articles on Bombay riots of January 1993.
Oza, Bhushan; Jesani, Amar
Published Year: 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.