The Impact of Social and Economic Development on Mortality: a Comparative Study of Kerala and West Bengal

Nag, Moni

doi:10.1515/9783110846850.305

Cited by 26 publications

(30 citation statements)

References 9 publications

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“…Thirdly, one may ask whether the PPCS palliative care policy was made possible only thanks to the long tradition of social achievements of Kerala, where public action brought changes in the domains of land reform, health, education, and the public distribution system. Mass literacy and high social and political consciousness fuelled the demand for health services, and increased citizens' awareness about the need and right to use medical facilities [23,24]. In this environment, the PPCS policy developed as part of a broader social movement, and not as a «stand-alone» service for the dying.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care in Kerala, India: A Model for Resource-Poor Settings

Bollini¹,

Venkateswaran²,

Sureshkumar³

2004

Oncol Res Treat

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Background: The need for palliative care is increasing throughout the world. Developing countries are progressively faced with an ageing population, whose changing health needs require urgent action. Insufficient access to care for both cancer and AIDS patients make palliative care the only humane and feasible response in many contexts. Material and Methods: In order to describe the need for palliative care in Kerala and the development of the new palliative care policy, we have collected and reviewed information from government officials, health professionals involved in cancer care, patients and their families, sponsors, and members of palliative care teams across Kerala. We also collected data on the functioning of the newly established palliative care clinics. Results: The Pain and Palliative Care Society developed in a few years a network of 33 palliative care clinics across Kerala, providing care free of charge to patients in need. Outpatient treatment with a supportive home care service was adopted as the main mode of operation. Trained volunteers from the community assisted in providing care, and family members were empowered to the highest degree in order to ensure continuity of treatment. In 2002 the network of clinics saw about 6,000 new patients, about 25% of incident cancer cases. Conclusions: The synergistic effect of motivation and knowledge, coupled with the use of local resources, has made possible the development of a network of palliative care services, available for free to terminally ill patients. The challenge of adapting such a model to other developing countries is discussed.

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Section: Discussionmentioning

confidence: 99%

Palliative Care in Kerala, India: A Model for Resource-Poor Settings

Bollini¹,

Venkateswaran²,

Sureshkumar³

2004

Oncol Res Treat

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“…Demographers and development scholars have studied Kerala's development trajectory to understand how high educational and health outcomes are possible at lower levels of economic development (Caldwell, 1986;Krishnan, 1976;Nag, 1984;Nair, 1974;Ratcliffe, 1978;Sen, 1999;Zachariah, 1984;Zachariah et al, 1994). Kerala's per capita income was approximately USD $275 in the late 1990s while the state's life expectancy was 74 years for women and 69 years for men, and the state's infant mortality rate was 14 out of 1000 live births (Nath et al, 1998).…”

Section: Fertility Decline In India and Keralamentioning

confidence: 99%

Pathways to Low Fertility in India

Vithayathil¹

2013

Asian Population Studies

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This paper examines emerging patterns of low fertility in regions of India. Using data from the National Family Health Survey, I find that, on average, women in India's low-fertility states follow an ordered life course of marriage followed by first birth, but limit higher-parity births through sterilisation at earlier ages and at higher rates. For a longitudinal perspective, I focus on the Indian state of Kerala, where the total fertility rate has been at-or below-replacement levels for more than 20 years. Women across successive birth cohorts in Kerala are marrying later, but, once married, they transition to first birth at similar rates across birth cohorts. Unlike in most of Europe and East Asia where non-marriage and substantial delays in marriage and childbearing drive low fertility, widespread female sterilisation and the restriction of childbearing to the period soon after marriage are important factors driving below-replacement fertility in regions of India.

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“…Since 1911-1920in Kerala, and 1963 in Sri Lanka, life expectancy continues to increase with a female advantage (Nag 1985 Although some authors attribute these health achievements largely to welfare inputs, such as health care and female education (Panikar andSoman 1984, pp. 143-149, Fernando et al 2003), others emphasize the role of agrarian reforms, politicization of the masses and public action (Ramachandran 1996, Casiander 2000).…”

Section: Overview Of Women's Health Achievementsmentioning

confidence: 99%

Gender bias in health research: implications for women's health in Kerala (India) and Sri Lanka

Thresia

Mohindra

2011

Critical Public Health

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Indian state of Kerala, and Sri Lanka have a special place in global health discourses, although there has been a relatively little systematic analysis of women's health in these societies. Moreover, there are a number of dimensions of women's health that have been underappreciated by public health researchers and development experts due to systematic gender biases in health research. This article seeks to provide a more complete picture of women's health in Kerala and Sri Lanka by explicitly addressing three key gender biases: inattention to health issues that particularly affect women, incomplete approaches to understanding the health of women and insufficient attention paid to the interactions between gender and other social stratification, such as class, ethnicity or caste.

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The Impact of Social and Economic Development on Mortality: a Comparative Study of Kerala and West Bengal

Cited by 26 publications

References 9 publications

Palliative Care in Kerala, India: A Model for Resource-Poor Settings

Palliative Care in Kerala, India: A Model for Resource-Poor Settings

Pathways to Low Fertility in India

Gender bias in health research: implications for women's health in Kerala (India) and Sri Lanka

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