Abstract
In the first section of this concluding chapter we present highlights from the syntheses of research on health inequities in India and a critique of the limitations of this evidence. Health equity research in India is clearly at an early and formative stage. There is a large body of literature around the patterns of health inequities along several axes, but for this literature to mature into actionable knowledge, and result in the implementation of meaningful policies, programmes and interventions, there is still a long way to go. Section 9.2 seeks to make meaning of the evidence through an attempt to weave the various strands of explanations presented in the literature together into a coherent approach for researching health inequities. It identifies the Coleman’s boat that helps organise various social mechanisms; the institutional focus and the intersectional lens as critical components to any approach that attempts to engage with the complex phenomena of health inequities in a meaningful fashion. The concept of embodiment, which makes the link between institutions and individual bodies, is an integral part of such an approach. Section 9.3 draws on this to suggest our thoughts on what needs to be done differently in health equity research, to make a tangible impact, especially on those affected the most.
Notes
- 1.
Of course both types of interactions are well described in systems thinking and other multilevel theories of system change like the transitions theory.
References
Anna, M., Callahan, J. L., & Kang, H. (2013). Gender and caste intersectionality in the Indian context. Human Resource Management, 6(95), 31–48.
Bunge, M. (1997). Mechanism and explanation. Philosophy of the Social Sciences, 27(4), 410–465.
Chowdhury, Z. (1981). Research: A method of colonization. Medico Friend Circle Bulletin, 62, 1–3.
Coleman, J. S. (1986). Social theory, social research, and a theory of action. American Journal of Sociology, 91(6), 1309–1335.
Dandona, L. (2015). Analysis of health research funding in India over five years. British Medical Journal Open, 5(Suppl 1), A1–A53.
Gaitonde, R. (2015). Tamil Nadu: A critical engagement. In I. Qadeer (Ed.), India social development report 2014: Challenges of public health (pp. 113–123). New Delhi: Oxford University Press.
Gopalan, S. S., Mohanty, S., & Das, A. (2011). Challenges and opportunities for policy decisions to address health equity in developing health systems: Case study of the policy processes in the Indian state of Orissa. International Journal for Equity in Health, 10(1), 55. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3239384/pdf/1475-9276-10-55.pdf.
Hedström, P., & Swedberg, R. (1998). Social mechanisms: An analytical approach to social theory. Cambridge (UK): Cambridge University Press. Retrieved from https://books.google.co.in/books?id=-iUmQRcYSIEC&printsec=frontcover&dq=Social+Mechanisms:+An+Analytical+Approach+to+Social+Theory&hl=en&sa=X&ved=0ahUKEwjpy7zbmYDTAhWCu7wKHS6sB5cQ6AEIGzAA#v=onepage&q=Social%20Mechanisms%3A%20An%20Analytical%20Approach%20to%20Social%20Theory&f=false.
Houweling, T. A., Tripathy, P., Nair, N., Rath, S., Rath, S., Gope, R., … Prost, A. (2013). The equity impact of participatory women’s groups to reduce neonatal mortality in India: Secondary analysis of a cluster-randomised trial. International Journal of Epidemiology, 42(2), 520–532.
Iyer, A., Sen, G., & George, A. (2007). The dynamics of gender and class in access to health care: Evidence from rural Karnataka, India. International Journal of Health Services, 37(3), 537–554.
Krieger, N. (2000). Refiguring “race”: Epidemiology, racialized biology, and biological expressions of race relations. International Journal of Health Services, 30(1), 211–216.
Krieger, N. (2005). Embodiment: A conceptual glossary for epidemiology. Journal of Epidemiology and Community Health, 59(5), 350–355. doi:10.1136/jech.2004.024562.
Link, B. G., & Phelan, J. C. (1996). Understanding sociodemographic differences in health—The role of fundamental social causes. American Journal of Public Health, 86(4), 471–473.
Lipsey, M., & Pollard, J. A. (1989). Driving toward theory in program evaluation: More models to choose from. Evaluation and Program Planning, 12(4), 317–328.
McNay, L. (1999). Gender, habitus and the field: Pierre bourdieu and the limits of reflexivity. Theory, Culture and Society, 16(1), 95–117.
Navarro, V. (2008). Politics and health: A neglected area of research. European Journal of Public Health, 18(4), 354–355.
Ostrom, E. (2009). A general framework for analyzing sustainability of social-ecological systems. Science, 325, 419–422. Retrieved from http://www.era-mx.org/biblio/Ostrom,%202009.pdf.
Pratt, B., & Loff, B. (2012). Health research systems: Promoting health equity or economic competitiveness? Bulletin of the World Health Organization, 90(1), 55–62.
Selvaraj, S., & Karan, A. K. (2009). Deepening health insecurity in India: Evidence from national sample surveys since 1980s. Economic & Political Weekly, 44(40), 55–60.
Story, W. T., & Carpiano, R. (2015). Household social capital and socioeconomic inequalities in child undernutrition in rural India: Exploring institutional and organizational ties. Annals of Global Health, 81, 119–120. Retrieved from http://dx.doi.org/10.1016/j.aogh.2015.02.775..
Subramanian, S. V., Kawachi, I., & Smith, G. D. (2007). Income inequality and the double burden of under-and overnutrition in India. Journal of Epidemiology and Community Health, 61(9), 802–809.
Vermeiren, P. P., & Soors, W. (2014). Mechanisms of social exclusion in social health protection schemes. In Health Inc Consortium (Ed.), Towards equitable coverage and more inclusive social protection in health (p. 208). Antwerp: ITGPress.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Appendix
Appendix
Content gaps in health equity research in India identified through mapping and syntheses exercises
Categories | Content gaps |
---|---|
Population groups | • Dalit and Adivasi populations • Children above 5 years of age; adolescents; elderly; persons living with disabilities (physical and mental); persons living with specific stigmatised health conditions; migrant workers; sex workers; people of non-conforming gender identity and sexual orientation |
Health conditions | • Non-communicable and communicable diseases • Mental health • Injuries • Reproductive health issues beyond maternal health • Well-being |
Geographic locations | • Urban poor areas • North-Eastern States, Goa |
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Ravindran, T.K.S., Gaitonde, R., Srinivas, P.N., Subramaniam, S., Chidambaram, P., Chitra, G.A. (2018). Health Equity Research: A Political Project. In: Ravindran, T., Gaitonde, R. (eds) Health Inequities in India. Springer, Singapore. https://doi.org/10.1007/978-981-10-5089-3_9
Download citation
DOI: https://doi.org/10.1007/978-981-10-5089-3_9
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5088-6
Online ISBN: 978-981-10-5089-3
eBook Packages: MedicineMedicine (R0)