The dynamics of gender and class in access to health care: evidence from rural Karnataka, India.
In the early 1990s, India embarked upon a course of health sector reform, the impact of which on an already unequal society is now becoming more apparent. This study sought to deepen understanding of equity effects by exploring gender and class dynamics vis-à-vis basic access to health care for self...
| Publicado en: | International Journal of Health Services Vol. 37; no. 3; pp. 537 - 555 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106010387&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106010387 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207314 E6D jtl: International Journal of Health Services issn: 00207314 maglogo: Y pubinfo: dt: 2007 vid: 37 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106010387 106010387 2009603213 10.2190/1146-7828-5l5h-7757 NLM17844933 106010387 ppf: 537 ppct: 18 formats: tig: atl: The dynamics of gender and class in access to health care: evidence from rural Karnataka, India. aug: au: Iyer A Sen G George A sug: subj: Health Services Accessibility Administration Rural Population Social Class Cross Sectional Studies Female Health Resource Allocation Administration India Male Prejudice Sex Factors Human Female Male ab: In the early 1990s, India embarked upon a course of health sector reform, the impact of which on an already unequal society is now becoming more apparent. This study sought to deepen understanding of equity effects by exploring gender and class dynamics vis-à-vis basic access to health care for self-reported long-term ailments. The authors drew on the results of a cross-sectional household survey in a poor agrarian region of south India to test whether gender bias in treatment-seeking is class-neutral and whether class bias is gender-neutral. They found evidence of 'pure gender bias' in non-treatment operating against both non-poor and poor women, and evidence of 'rationing bias' in discontinued treatment operating against poor women overall, but with some differences between the poor and poorest households. In poor households, men insulated themselves and passed the entire burden of rationing onto women; but among the poorest, men, like women, were forced to curtail treatment. There were economic class differences in continued, discontinued, and no treatment, but class was a gendered phenomenon operating through women, not men. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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