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A System That Works: Or One That Makes People Work?

Public Service Delivery in India: Are Systems Working for Citizens? India measures public service delivery by outputs: hospitals built, schemes launched, beneficiaries enrolled. But citizens judge the state by their daily experience, not outputs. Yet for citizens, the state is not endured through outputs; it is experienced through processes.  The wait at a clinic, the… Continue reading A System That Works: Or One That Makes People Work?

Tackling COVID-19: The Need for Effective Capacity Utilisation of Health Professionals

In India, the labor market in the healthcare sector runs in acute supply shortage. The doctor-patient ratio is 1:1248 and there are only 1.5 nurses available per thousand patients. Public health capacity is inadequate and mostly asymmetrically distributed across states. While there are 38.3 government hospitals for a million people in Kerala, there are only… Continue reading Tackling COVID-19: The Need for Effective Capacity Utilisation of Health Professionals

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