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Persistent Inequalities in Health-Contextualising the Neglect of Ambedkar’s Contribution

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Mapping Identity-Induced Marginalisation in India
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Abstract

Any discussion on the social identity-based exclusion remains incomplete without a reference to the efforts of Dr. BR Ambedkar. While his role in upliftment of the underprivileged communities is well publicized, much needs to be written on his contribution to the cause of health. This concern, however, was evident in 1927 when as Chairman of Satyagraha Committee of the Dalit Movement, he addressed Dalits, mostly Mahars, in Chavdar Tank in Mahad Taluka of Maharashtra. This satyagraha was held three years prior to Gandhi’s Dandi march. While salt was at the centre of Gandhi’s campaign, drinking water was at the core of Ambedkar’s crusade. He led the Dalits to drink water from Chavadar tank in Mahad and asserted their right to take water from public water sources. This was initiated as a quest for the right to equality to get drinking water from the tank which was denied to Dalits. It echoed the beginning of his concern for health of the people nearly two decades before the constitution of Joseph Bhore Committee on Health Survey and Development in 1945–46. The present paper endeavours to highlight his concerns and efforts towards health of the people.

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Notes

  1. 1.

    Matthew Martin, Max Lawson, Nabil Abdo, David Waddock, Jo Walker (2020) Fighting inequality in the time of COVID-19: The Commitment to Reducing Inequality Index 2020: Policy Paper. 8 October2020. https://www.oxfam.org/en/research/fighting-inequality-time-covid-19-commitment-reducing-inequality-index-2020.

  2. 2.

    Source http://healthopine.com/indian-healthcare-budget-allocation-for-the-year-2012-2013/.

  3. 3.

    (https://www.mohfw.gov.in/newshighlights/national-health-accounts-estimates-india-2014-15).

  4. 4.

    (http://164.100.47.190/loksabhaquestions/annex/9/AU2201.pdf).

  5. 5.

    Ayushman Bharat is National Health Protection Scheme. https://www.esic.nic.inab-pm-jay.

  6. 6.

    Recommendations made in Justice AS Qureshi Committee Report and representation to the Ministry of Urban Development. Revisited. Social Jurist, A Lawyers Group versus Government Of NCT Of Delhi And Ors. on 22 March, 2007.Equivalent citations: 140 (2007) DLT 698. Bench: S Kumar, H Malhotra JUDGMENT Swatanter Kumar, J.

  7. 7.

    https://www.dw.com/en/india-covid-unaffordable-health-care/a-58162810; https://www.downtoearth.org.in/coverage/delhi-hospitals-freed-of-poor-44376; https://www.ndtv.com/india-news/supreme-court-orders-private-hospitals-to-provide-free-treatment-to-poor-patients-1880210.

  8. 8.

    Prajanma Das reported for Edex Live on 17 May, 2021 that casteist remarks were made by the Dean of Social Sciences and Political Science, Banaras Hindu University, Dr. Koushal Kumar Mishra on Facebook on May 13, 2021 stating that Indian doctors are incompetent because ‘most of them do not become doctors for their merit but because of reservations’. Quoting WHO that 60% of Indian doctors are incompetent, he posed a question satirically…’ now who will tell them that here (in India) one does not become a doctor based on merit but on ‘Bhim Baba's Constitution?’; Edex Live. Published: 17th May 2021. https://www.edexlive.com/news/2021/may/17/bhu-distances-itself-from-casteist-prof-who-commented-on-the-competence-of-doctors-20763.html.

  9. 9.

    Ministry of Labour and Employment. Do No M-21015/1/2012-RW dated 12 July 2013. MoL&E, Government of India.

  10. 10.

    https://www.thehindubusinessline.com/news/Dr-B.R.-Ambedkar-voted-as-%E2%80%98Greatest-Indian%E2%80%99/article20485049.ece

  11. 11.

    https://sdgs.un.org/goals; https://www.in.undp.org/content/india/en/home/sustainable-development-goals.html.

References

  • Acharya, S. (2010). Caste and patterns of discrimination in rural public health care services’. In S. Thorat & K. S. Newman (Eds.), Blocked by caste—ECONOMIC discrimination and social exclusion in modern India (pp. 208–229). Oxford University Press.

    Google Scholar 

  • Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. L., & Syme, S. L. (1994). Socioeconomic status and health: The challenge of the gradient. American Psychologist, 49(1), 15–24. [PubMed: 8122813].

    Article  Google Scholar 

  • Adler, N. E., Marmot, M., McEwen, B. S., & Stewart, J. (eds) (1999). Annals of the New York academy of sciences 896. Socioeconomic status and health in industrialized nations: Social, psychological and biological pathways.

    Google Scholar 

  • Antonovsky, A. (1967). Social class, life expectancy and overall mortality. Milbank Quarterly 45(2), 31–73.

    Google Scholar 

  • ADB. (2012). Asian development outlook 2012: Confronting rising inequality in Asia. Asian Development Bank.

    Google Scholar 

  • Ambedkar, B. R. (1948). The untouchables: Who were they and why they became untouchables Dr Bababsaheb Ambedkar-writings and speeches vol. 5 complied by vasant moon (January 2017, pp. 18. First edition by education department, Government of Maharashtra 14 Apr 1989. Reprint by Dr Ambedkar Foundation, Ministry of Social Justice and Empowerment, GoI New Delhi http://www.ambedkarfoundation.nic.in/

  • Balarajan, Y., Selvarajan, S., & Subramanian, S. V. (2011). Health care and equity in India Lancet. Feb 5; 377(9764), 505–515. Published online 2011 Jan 10. https://doi.org/10.1016/S0140-6736(10)61894-6 PMCID: PMC3093249 NIHMSID: NIHMS292456 PMID:21227492. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093249/ Accessed 12 Dec 2020.

  • Baum, F. (2007). Health for all now! Reviving the spirit of Alma Ata in the twenty-first century: An introduction to the Alma Ata declaration. Social Medicine, 2(1), 34–41.

    Google Scholar 

  • Beteille, A. (1969). Castes: Old and new, essays in social structure and social stratification. Asia Publishing House.

    Google Scholar 

  • Borooah, V. K., Sabharwal, N. S., & Thorat, S. (2012). Gender and caste-based inequality in health outcomes in India (Working Paper Series 7(3)). New Delhi: Indian Institute of Dalit Studies.

    Google Scholar 

  • Borooah, V. K., Diwakar, D., Mishra V. K., Naik, A. J., & Sabharwal N. S. (2014). Caste inequality and poverty in India: A re-assessment. Development Studies Research. An Open Access Journal 1(1), 279-294 Publisher Routledge

    Google Scholar 

  • Chancel, L., & Piketty, T. (2017). Indian income inequality, 1922–2015: From British Raj to Billionaire Raj? WID. World Working Paper Series N° 2017/11.World Inequality Database. The global data source. World Inequality Lab July

    Google Scholar 

  • Department of Health and Social Security. (1980). Inequalities in health: Report of a research working group (The Black Report). Department of Health and Social Security.

    Google Scholar 

  • Deshpande, A. (2000). Does caste still define disparity? A look at inequality in Kerala. India Am Econ Rev, 90(2), 322–325.

    Article  Google Scholar 

  • Dhanajay, K. (1971). Dr Baba Saheb Ambedkar. Popular Prakashan Bombay. Reprint 2010

    Google Scholar 

  • Dwivedi, R., & Pradhan, J. (2017). Does equity in healthcare spending exist among Indian states? Explaining regional variations from national sample survey data. Int J Equity Health, 16, 15. https://doi.org/10.1186/s12939-017-0517-y

    Article  Google Scholar 

  • Grosse, R. N., & Auffrey, C. (1989). Literacy and health status in developing countries. Annual Review of Public Health, 10, 281–297.

    Article  Google Scholar 

  • Gwatkin, D. R. (2000). (2000) Health inequalities and the health of the poor: What do we know? What can we do? Bulletin of the World Health Organization, 78(1), 3–18.

    Google Scholar 

  • Himanshu (2007). Recent trends in poverty and inequality: Some preliminary results. Economic and Political Weekly 42(6), 497–508. Retrieved June 2, 2021, from http://www.jstor.org/stable/4419235

  • Holzer, C. E., Shea, B. M., Swanson, J. W., Leaf, P. J., Myers, J., George, L., Weissman, M., & Bednarski, P. (1986). The increased risk for specific psychiatric disorders among persons of low socioeconomic status. American Journal of Social Psychiatry, 6(4), 259–271.

    Google Scholar 

  • HDR. Human Development Report. (2015). United Nations development Programme, 2015. New York

    Google Scholar 

  • IIPS and ICF. (2017). International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015–16: 2017. India. Mumbai: IIPS.

    Google Scholar 

  • Jadhav, N. (2014). Ambedkar: Awakening India’s social conscience. Konark Publishers Pvt. Ltd.

    Google Scholar 

  • Jayaraman, R., & Lanjouw, P. (1999). The Evolution of Poverty and Inequality in Indian Villages. World Bank Research Observer 14.

    Google Scholar 

  • Jayadev, A., Motiram, S., & Vakulabharanam, V. (2007). Patterns of wealth disparities in India during the liberalisation era. Economic & Political Weekly, 42(38), 3853–63.

    Google Scholar 

  • Lanjouw, P., & Stern, N. (1989). Agricultural changes and Inequality in Palanpur: 1957–1984’, DEP discussion paper number 24. London School of Economics and Political Science.

    Google Scholar 

  • Markovic, N., Bunker, C. H., Ukoli, F. A., & Kuller, L. H. (1998). John Henryism and blood pressure among Nigerian civil servants. Journal of Epidemiology and Community Health. 52(3), 186–90 [PMC free article] [PubMed]

    Google Scholar 

  • Marmot, M. G., Smith, G. D., Stansfeld, S., Patel, C., North, F., Head, J., White, I., Brunner, E., & Feeney, A. (1991). Health inequalities among British civil servants: The Whitehall II study. Lancet 337(8754):1387–1393. [PubMed]

    Google Scholar 

  • Marmot, M. (2015). The health gap: The challenge of an unequal world. Bloomsbury.

    Google Scholar 

  • Mazumdar, D., & Sarkar, S. (2007). Growth of employment and earnings in tertiary sector, 1983–2000. Economic & Political Weekly, 42(11), 973–981. (17) (PDF). Income inequality in India: Pre-and post-reform periods. Available from: https://www.researchgate.net/publication/290097958_Income_inequality_in_India_Pre-_and_post-reform_periods Accessed 02 Jun 2021

  • Mazumdar, D., Sarkar, S., & Mehta, B. S. (2017). Inequality India-1 Economic and Political Weekly LII 30, pp. 47–56

    Google Scholar 

  • McIntyre, D., Thiede, M., Dahlgren, G., & Whitehead, M. (2006). What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts? Social Science and Medicine, 62(4), 858–865.

    Article  Google Scholar 

  • Moon, V. (1989). Dr. Babasaheb Ambedkar—Writings and speeches 1 Education Department, Government of Maharashtra.

    Google Scholar 

  • Moon, V. (2002). Dr. Babasaheb Ambedkar. National Book Trust.

    Google Scholar 

  • Mungekar, B. (Ed.). (2017). The Essential Ambedkar. Rupa Publication.

    Google Scholar 

  • OECD. (2019). Health at a Glance. OECD Indicators. https://www.oecd.org/health/health-systems/health-at-a-glance-19991312.htm

  • Omvedt, G. (1995). Dalit Visions: The Anti-Caste Movement and the Construction of an Indian Identity. 5. Hyderabad: Orient Longman. P-72.

    Google Scholar 

  • Pampel, F. C., Krueger, P. M., & Denney, J. T. (2010). Socioeconomic disparities in health behaviors. Annual Review of Sociology 36: 349–370. https://doi.org/10.1146/annurev.soc.012809.102529.

  • Pandey, A., Ploubidis, G. B., Clarke, L., & Dandona, L. (2018). Trends in catastrophic health expenditure in India: 1993 to 2014. Bulletin of the World Health Organization, 96, 18–28. https://doi.org/10.2471/BLT.17.191759(Publishedonline:30November2017)

    Article  Google Scholar 

  • Peters, D. H., Yazbeck, A. S., Sharma, R. R., Ramana, G. N. V., Pritchett, L. H., Wagstaff, A. (2002). Better health systems for India’s poor: Findings, analysis, and options. Washington, DC: World Bank. © World Bank. https://openknowledge.worldbank.org/handle/10986/14080 License: CC BY 3.0 IGO.

  • Roy, T. K., Kulkarni, S., & Vaidehi, Y. (2004). Social inequalities in health and nutrition in selected states. Economic and Political Weekly, 39(7), 677–683.

    Google Scholar 

  • Sarkar, S., & Mehta, B. S. (2010). Income inequality in India: Pre and post-reform periods. Economic & Political Weekly, 45(37), 45–55.

    Google Scholar 

  • Sen, A., & Himanshu (2021). Poverty and inequality in India: I. Economic and Political Weekly, 39 (38): 4247–4263. Retrieved June 2 http://www.jstor.org/stable/4415560

  • Shah, G., Mander, H., Thorat, S., Deshpande, S., & Baviskar, A. (2006). Untouchability in rural India. SAGE Publications.

    Google Scholar 

  • Sorokin, P. A. (1927) Social mobility. 1927. New York; London, Harper & Brothers, Social Science Series

    Google Scholar 

  • Thorat, S. (2016). Ambedkar’s role in nation building has been forgotten. KALABURAGI: JULY 19, 2016 https://www.thehindu.com/news/national/karnataka/%E2%80%98Ambedkar%E2%80%99s-role-in-nation-building-has-been-forgotten%E2%80%99/article14496697.ece (Accessed 12 Nov 2020)

  • Thorat, S. (2017). Ambedkar crafted framework for all current policies. TNN | Nov 24, 03.21 AM IST

    Google Scholar 

  • Thorat, S., & Madheswaran, S. (2018). Graded caste inequality and poverty: Evidence on role of economic discrimination. Journal of Social Inclusion Studies. https://doi.org/10.1177/2394481118775873 (Accessed on 12 Nov 2020)

  • Wagstaff, A., & van Doorslaer, E. (2004). Overall versus socioeconomic health inequality: A measurement framework and two empirical illustrations. Health Economics, 13(3), 297–301. https://doi.org/10.1002/hec.822

    Article  Google Scholar 

  • Wilkinson, R. G. (1986). Class and health: Research and longitudinal data. Tavistock Publications.

    Google Scholar 

  • Wilkinson, R. G. (1997). Socioeconomic determinants of health-health inequalities reactive or absolute materials standards. British Medical Journal, 314(7080), 591. https://doi.org/10.1136/bmj.314.7080.591. (Published 22 February 1997). Accessed 12 Nov 2020

  • Williams, D. R. (1990). Socioeconomic differentials in health: A review and redirection. Social Psychology Quarterly, 53(2), 81–99.

    Article  Google Scholar 

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Acharya, S.S. (2022). Persistent Inequalities in Health-Contextualising the Neglect of Ambedkar’s Contribution. In: Kale, R.K., Acharya, S.S. (eds) Mapping Identity-Induced Marginalisation in India . Springer, Singapore. https://doi.org/10.1007/978-981-19-3128-4_20

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