ABSTRACT

This volume has articles contributed by health researchers, practitioners, policy advocates, programme managers and a journalist, and poems by renowned poet–physician Gieve Patel. Each presents a distinctive view of a particular group of frontline health providers, based on field research or on the authors’ respective experiences of working with or as providers. The health providers addressed in this volume include doctors (working in the public and private sectors), nurses, public health workers, counsellors, traditional practitioners and homecare providers.

Different groups of health providers face struggles at diverse frontiers — social, professional and systemic. In the context of reforming health systems, government health workers must constantly negotiate the vagaries of changing working environments and policy vacillations. For traditional and homecare providers, formal health systems and structures often only reject and exclude their contributions. Medical doctors, conversely, face difficult challenges of introspection, as they tread the line between personal gain and public service.

The ideas and themes that emerge in this collection not only contribute to the understanding of providers’ roles as actors in the health systems and societies of contemporary India, but re-examines preconceptions about this critical occupational group. This volume advances the case for a deeper appreciation of India’s complex landscape of healthcare provision, and of the potential roles of frontline health providers as central figures in development.

part I|65 pages

Government Health Workers: Uneasy At The Bottom

chapter 1|23 pages

Government Rural Health Assistants as Social Beings

Neither Passive nor Perverse

chapter 2|19 pages

The Midwifery Role of the Auxiliary Nurse Midwife

The Effect of Policy and Programmatic Changes

chapter 3|21 pages

Dilemmas and Conflicts of HIV Counsellors in VCTCs

Experiences from Karnataka

part II|79 pages

Doctors: Vexed Relationships With The Public Good

chapter 4|16 pages

Public Sector Doctors in an Era of Commercialisation

Reflections from Senior AIIMS Doctors

chapter 6|23 pages

Understanding Practitioners' Responses to National Policy Guidelines

The Case of HIV Testing in Hospitals

chapter 7|16 pages

The Dynamics of Medicos' Anti-Reservation Protests of 2006

A Lens on Their Political Actions

part III|62 pages

Traditional And Home Care Providers: The Edge Of Legitimacy

chapter 8|21 pages

The Community Role of Indigenous Healers

An Exploration of Healing Values in Maharashtra

part IV|38 pages

Adapting, Transforming: Personal Experience In Professional Spaces

chapter 11|19 pages

Sexual Harassment of Women Health Workers

Individual and Organisational Responses in Kolkata Hospitals

chapter 12|17 pages

Gender and Health Training of Male Multipurpose Workers

Challenges and Lessons Learnt from Mumbai