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Health and social care inequalities: a case study

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Added on  2020-01-15

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In India, the rate of health and inequality is very high as United Nation’s Millennium Development Goals (MDGs) set target of IMR and MMR to 42 per 1000 birth and 109 per 100000 births, however, actual achievement were 40/1000 birthand167/100,000births.In Maharashtra, in 2007-09, MMR and IMR are 104 and 28 declined to 68 and 24 respectively. In India, the rate of health and inequality is very high as United Nation’s

Health and social care inequalities: a case study

   Added on 2020-01-15

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Health and social care inequalities: a case study_1
TABLE OF CONTENTSINTRODUCTION................................................................................................................................3Rationale...........................................................................................................................................3Reasons for maternal mortality rate and infant mortality rate..........................................................3Describing the problem and comparison of health inequalities in Indian and other developedcountries............................................................................................................................................7Factor responsible for inequalities in maternal mortality and infant mortality..............................11Government responses to tackling the problem..............................................................................13CONCLUSION..................................................................................................................................15REFERENCES...................................................................................................................................172
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INTRODUCTION Every human being wishes to live a disability-free life, however, the consequences of socialconditions like poverty, poor diet, unemployment etc. leads to arise gaps in people health andwellbeing. Unfair and avoidable health differences among different social and population groups areknown as health inequalities. In other words, preventable disparity and unjust differences in thewellbeing status of several groups are called health inequalities. India and many other nationalgovernments are trying to reduce such health differences by making necessary legislations, policiesand regulations. In India, the rate of health and inequality is very high as United Nation’sMillennium Development Goals (MDGs) set target of IMR and MMR to 42 per 1000 birth and 109per 100000 births, however, actual achievement were 40/1000 birth and 167/100,000 births. InMaharashtra, in 2007-09, MMR and IMR are 104 and 28 declined to 68 and 24 respectively. Thepresent essay report here lay emphasizes on identifying different reasons behind not accomplishingset UNDP’s IMR and MMR targets in India. Moreover, it will also analyse and compare the factsand figures about health inequalities in Indian and other developed countries of the world. Alongwith this, necessary actions and decisions taken by government to reduce IMR and MMR andimprove the health inequalities will be examined. On the basis of this analysis, appropriaterecommendation will be given to the Indian government to tackle the problem of health disparitiesmore effectively and efficiently and thereby reduce inequality in public health. RationaleAlthough Indian government is putting their efforts so as to decrease the level of inequalitiesin the society, but still, nation is unable to achieve the set UNMDG’s targets. Thus, it can be saidthat health disparities create differences between wellbeing of several groups and causes inequalityin the society. Literacy gap, income inequality, poverty, wealth differences, gender biasness,education, socio-economic conditions etc. are the main important reasons behind differences inwellbeing of several groups. Thus, it can be said that it is still an issue for the country henceforth;government needs to take various steps in order to eliminate it and improve the quality of life ofeach and every Indian. The rationale behind conducting this study is to identifying the responsiblefactors for high IMR and MMR in India, so that; government can take number of initiatives andsteps to bridge the gap in health differences among different people. Through this, government canbring significant level of improvements to make people life healthier, which in turn, increasesurvival rate. Reasons for maternal mortality rate and infant mortality rateThere are numerous reasons responsible for higher IMR and MMR in India. As per the view3
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point of McGorry, Marmot and Bell (2012), most importantly, health differences occur due toinequalities in social and economic conditions of the people. Moreover, discrimination is also aresponsible factor for difference in individual’s well being. According to Milanovic and Roemer(2016), although in the historical 50 years, overall health of the population has been improved, butstill, the rate of health inequalities remains still same. Therefore, government take intervention inparticular area in order to handle these disparities and thereby make people life healthier and free ofdisability. (Source: Link, 2013)According to Maharstra’s Human Development Report, unequal distribution of wealth,income and power are the most fundamental causes for the health inequalities across population.These are the main reasons which cause poverty among several groups and individuals, which inturn, poor people are not able to take benefit of better cure services to make their life happier andhealthier. In such respect, income refers to the money received by an individual and power is theperson’s ability to do something or exert their control and influence others through prestige andavailability of other sources. In accordance with the recent report published by Surjana, B in 2016, 1% of the richestIndian who owned one-third portion of overall Indian wealth got increased to more than 50% in2016, however, the rest of the population who owned 99% of the wealth now owns less than 50%.Thus, the report clearly exhibits the differences in wealth which causes health differences in thecountry. In the report, it also has been published that the share in wealth of top 1% of the Indiansgone up from 36.8% to 53% in 2015 which clearly demonstrate that the system of wealthdistribution is highly skewed in India. According to Utkarsh (2016), in Maharashtra, children facesnumber of health hazards due to some major diseases that are HIV, malaria, diarrhoea, tuberculosisand many others. Moreover, the children who are under the age of 5 year (IMR) are underweightand die earlier than others. Apart from this, in Maharashtra, children are suffering health issues due4
Health and social care inequalities: a case study_4

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