Have India’s health centres really ‘collapsed’?
The HinduJean Drèze, Reetika Khera, Rishabh Malhotra, ‘The Changing State of Health Centres in North India’, Economic & Political Weekly There is a well-documented infamy around public health centres. Localised healthcare “is a much better way of dealing with most health problems than to let patients loose on larger public hospitals or the private sector”. “Health centres today have better facilities, dispense more medicines, serve more patients, and provide a wider range of services than they did 10 or 20 years ago”, the researchers found. The quality of health centres was “dismal”, some local sub-centres were dormant and others were non-existent. The study also documented social discrimination in health centres: some upper-caste doctors had “disparaging attitudes towards marginalised communities”, and upper-caste families routinely disrespected Dalit ANMs.