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27-31 August 2019
Poznań, Poland
Europe/Warsaw timezone
programme last update: 23 August 2019
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Social Exclusion and Discrimination in Health


Location: Poznań, Poland
Date: 30 Aug 11:00 - 15:30


Room 3.94

India is one of the most unequal countries both in terms of income as well as social indicators. Poor, most of whom are from Dalits, tribes (especially, denotified) and religious minorities, expereince discrimination in access to resources, services and opportunities in various spheres and in varied forms. Provisioning of health care services has been elugised as a nobel profession where differentiation on the basis of social identities is absent. However, in a diverse country like India, a labyrinth of identities based on caste, ethnicity, religion, region, language, political affiliation actively lend to the propensities which evolve for the utilisation of services. Historical deprivation in case of some, exclude them, while the privileges accrued to some others put them at an advantaged positon for accessing resources. Health care responds to such revelation only when inequality framework is revisited in the light of inequity. The idea of poverty has to be reexamined vis-a-vis restricted access to resources consequent of social impoverishment. While largescale data have reported on the inequalities, micro level studies have reported the differential treatment meted out to care users based on their social ideintities. Grassroots level workers providing healthc are have been observed to be more discrimiantory as comapred to the ones at the higher level of higher level of heirarchy of the health care. Thus is it imperative to table the issues which pepetuate historical deprivation anf furhtet marginalise the socially excluded groups from access to ehalthc are services.


  • P 59.1
    • Dr. Sheel Acharya, Sanghmitra (Jawaharlal Nehru University)
    • Dr. Najafizada, Maisam (Memorial University of Newfoundland)
  • P 59.2
    • Dr. Sheel Acharya, Sanghmitra (Jawaharlal Nehru University)
    • Dr. Najafizada, Maisam (Memorial University of Newfoundland)

Timetable | Contribution List

Displaying 9 contributions out of 9
This paper examines the delivery of healthcare services in the context of decentralisation. It also explores the role of Panchayati Raj Institutions (PRIs) in the context of healthcare delivery with reference to rural India. It seeks to empower the local government by devolving power and responsibilities to them hierarchically. The involvement of local self-government in rural areas has enhanced t ... More
Presented by Suman DAS on 30/8/2019 at 9:20
Background: Caste plays a very important role in defining the boundaries for the women health workers in India. It is well-established fact that lower caste people suffer from social exclusion and discrimination at their workplace in India. This paper explores the alternative coping strategies that women health workers adopt while delivering health services at the grassroots level in India. Method ... More
Presented by Dr. Virendra KUMAR on 30/8/2019 at 13:45
The paper is based on an ethnographic study carried out for my doctoral research in rural Punjab. The selected village in Punjab represented a case wherein families from Uttar Pradesh migrated to work as agricultural labourers. An attempt was made to understand as to how their migrant status, work and living conditions, the role of the intersection of gender and migrant identities during pregnancy ... More
Presented by Sabina SINGH
Ideally, well managed cities should promote good health and well-being, but poverty and slum conditions pose a serious public health threat to Nigeria’s rapidly expanding urban populations. UN-Habitat and the ILO estimate that between 50 and 70 per cent of townspeople in sub-Saharan Africa work in the informal sector. Although critics dismiss the informal sector as “a chaotic jumble of unprodu ... More
Presented by Dr. Geoffrey NWAKA
Caste as an essential concept for Indian society and its ramifications for people belonging to a particular caste. The existing research and data on health at the national level though identify caste as a barrier, they still treat caste as a hierarchical structure without acknowledging the differences within a particular caste as regards access to health care services. Their experiences in accessi ... More
Presented by Dr. Kanhaiya KUMAR on 30/8/2019 at 14:25
Indian society is complex and multi-faceted, and it has deep fissures. There is a long history of social exclusion with a caste system that continues to plague the population. Access to health care and health services is limited and of poor quality for marginalized people since it is predominantly in the private sector; this is not new despite efforts to strengthen the public health care system. H ... More
Presented by Dr. Shree MULAY on 30/8/2019 at 14:05
Presented by Dr. Sanghmitra SHEEL ACHARYA, Dr. Maisam NAJAFIZADA, Dr. Gobinda C PAL - DISCUSSANT
The presentation seeks to illuminate the state of inclusion and exclusion with regard biomedical care in contemporary Nepal. In particular, the presentation focuses on the sickle cell anemia patients among the indigenous people, Tharu, and examines their access to national medical facilities. The Tharu were defined in the Mulki Ain (National Law) of 1854 as people from who ‘water can be accepted ... More
Presented by Yuka NAKAMURA on 30/8/2019 at 11:00
The concept of social exclusion entails denial of equal rights to the group as a whole. This implies that all individuals belonging to the particular group are denied equal rights, irrespective of their individual attributes. With such established fact about caste and social exclusion, it would be interesting to see the type of discrimination practiced during rendering of health services and also ... More
Presented by Dr. Sonia VERMA on 30/8/2019 at 9:40
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