Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services

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 among the wealthiest. Second, devolving services to elected...

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Main Authors:	Gupta, Monica Das, Dasgupta, Rajib, Kugananthan, P., Rao, Vijayendra, Somanathan, T.V., Tewari, K.N.
Format:	Journal Article
Published:	Taylor and Francis 2020
Subjects:	HEALTH SERVICE DELIVERY GOVERNANCE MUNICIPAL HEALTH PUBLIC ADMINISTRATION URBAN HOUSING
Online Access:	http://hdl.handle.net/10986/33658

id	okr-10986-33658
recordtype	oai_dc
spelling	okr-10986-336582021-05-25T10:54:44Z Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services Gupta, Monica Das Dasgupta, Rajib Kugananthan, P. Rao, Vijayendra Somanathan, T.V. Tewari, K.N. HEALTH SERVICE DELIVERY GOVERNANCE MUNICIPAL HEALTH PUBLIC ADMINISTRATION URBAN HOUSING 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 among 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. 2020-04-28T18:07:17Z 2020-04-28T18:07:17Z 2020-05 Journal Article The Journal of Development Studies 0022-0388 http://hdl.handle.net/10986/33658 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research Publications & Research :: Journal Article South Asia India
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	HEALTH SERVICE DELIVERY GOVERNANCE MUNICIPAL HEALTH PUBLIC ADMINISTRATION URBAN HOUSING
spellingShingle	HEALTH SERVICE DELIVERY GOVERNANCE MUNICIPAL HEALTH PUBLIC ADMINISTRATION URBAN HOUSING Gupta, Monica Das Dasgupta, Rajib Kugananthan, P. Rao, Vijayendra Somanathan, T.V. Tewari, K.N. Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
geographic_facet	South Asia India
description	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 among 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.
format	Journal Article
author	Gupta, Monica Das Dasgupta, Rajib Kugananthan, P. Rao, Vijayendra Somanathan, T.V. Tewari, K.N.
author_facet	Gupta, Monica Das Dasgupta, Rajib Kugananthan, P. Rao, Vijayendra Somanathan, T.V. Tewari, K.N.
author_sort	Gupta, Monica Das
title	Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
title_short	Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
title_full	Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
title_fullStr	Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
title_full_unstemmed	Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services
title_sort	flies without borders : lessons from chennai on improving india's municipal public health services
publisher	Taylor and Francis
publishDate	2020
url	http://hdl.handle.net/10986/33658
_version_	1764479239736786944

Flies without Borders : Lessons from Chennai on Improving India's Municipal Public Health Services

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