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You are here: Home / MPRC People / Monica Das Gupta, Ph.D. / Monica Das Gupta Publications / Flies Without Borders - Lessons from Chennai on Improving India's Municipal Public Health Services

Monica Das Gupta, Rajib Dasgupta, P Kugananthan, Vijayendra Yao, TV Somanathan, and KN Tewari (In press)

Flies Without Borders - Lessons from Chennai on Improving India's Municipal Public Health Services

Journal of Development Studies.

India’s cities face key challenges to improving public health outcomes. First, unequally distributed public resources create insanitary conditions, especially in slums – threatening everyone’s health, as suggested by poor child growth even amongst the wealthiest. Second, devolving services to elected bodies works poorly for highly technical services like public health. Third, services are highly fragmented. This paper examines the differences in the organisation and management of municipal services in Chennai and Delhi, two cities with sharply contrasting health indicators. Chennai mitigates these challenges by retaining professional management of service delivery and actively serving vulnerable populations − while services in Delhi are quite constrained. Management and institutional issues have received inadequate attention in the public health literature on developing countries, and the policy lessons from Chennai have wide relevance.

Featured, Health, Das Gupta, Health Disparities, Health in Social Context
First publication: May 30, 2019

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