Case Studies

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https://resourcerepository.azimpremjiuniversity.edu.in/handle/apurr/1780

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What Killed Annette Jean (From the Book Infections and Inequalities)
(1999) Paul Farmer
The case study highlights structural violence, poverty and its connections with tuberculosis. It also shows inequalities in distribution and outcome of infectious diseaseses. It explores the disparities manifesting in biological form but are largely socially determined. The story also impels the readers to make sense of somatization, grief and suffering.
Chemical Odour Incidents in SIPCOT Industrial Area, Cuddalore
(2004) G.K Amrithslingam et.al
The Study explores and provides conclusive cases of a range of illnesses related to industrial pollution and chemical odour incidents among the residents living in and around the SIPCOT industrial area based on their subjective experiences. The study recorded 36 different type of chemical odour and 30 health symptoms associated with them. The study found that Children in villages were more prone to frequent illnesses.
A Conversation on Sexual Rights in India
(2005 (Reprint-2010)) CREA; SANGMA; TARSHI
The report is not India specific (albeit includes India as well) but documents various strands of conversations and diverse views, opinions, and voices around sexual rights. These conversations attempt to explore and conceptualize what do we mean by sexual rights and how various organizations and progressive movements by Community Based Organizations (CBOs) have engaged with the issue of sexual rights. Besides, it also highlights the increasing repression of these rights in the name of "culture" and by creating the binaries of "Masculine" and Feminine" and demonization and denigration of "Human Rights" as a concept.
The Story of Selvi and Gopalan. The Last Resort: Why Patients with Severe Mental Disorders go to Therapeutic Shrines In India. From the Book- Restoring Mental Health in India: Pluralistic Therapies and Concepts
(2009) Brigitte Sebastia
The case study explores various pertinent questions pertaining to people with mental disorders and the therapeutic route their family members choose. Besides, it explores when and why religious therapy is chosen for treatment of mental disorders and place of religious therapy. Why people visit therapeutic shrines and reasons for choosing religious therapy. The case study also deliberates upon the practice of Psychiatry and history of various treatment practices for patients with mental disorders involving double treatment combining religious therapy and medicine. It illuminates medical pluralism, stereotyping gender question, religion and science.
Commercial Surrogacy and Fertility Tourism in India- The Case of Baby Manji
(2009) Kari Points
It is a dense rich case that shows the tensions between law (Inter-country), ethics, humanitarian values, technology, and private medical care specifically in new reproductive technology. It Raises many pertinent questions viz. What is a mother? What is a father? What does it mean to be a human? or a Citizen. How emerging technologies redefine these identities and pose ethical challenges.
Evaluation Research on a Disability Rehabilitation Programme (From the Book- Casebook on Ethical Issues in International Health Research)
(2009) Neha Madhiwalla; Richard Cash et al.(Edited)
This case study highlights moral dillemas and ethical issues in doing justice to findings vs. pragmatic considerations of resources.
Determining who Constitutes the Community (From the Book- Casebook on Ethical Issues in International Health Research)
(2009) Neha Madhiwalla; Richard Cash et al.(Edited)
The case study raises some pertinent question such as who should actually represent a community? What should be an actual representation of a community and its voice based on which decisions can be made or interventions can be planned? What should be the inclusion criteria? Ethical Issues around mid-course corrections in research and Procedural justice.
The Truth About Me: A Hijra Life Story
(2010) A.Revathi; Geetha (Translator)
This Case story (Autobiography) is journey of Revathi (a transgender woman) beginning from her upbringing as a boy in a small village in Salem to her becoming a woman. It highlights her own feelings and desires, struggles, humiliation and indignation towards the sexual and structural violence afflicted by her own family and society towards her and the hijra community. It showcases her unflinching courage to fight violence and humiliation within her family and in the outside world.
Cholera and Nothing More
(2010) Delan Devakumar
This case study reflects various ethical and moral dilemmas confronted by a practitioner in the midst of a contagious epidemic of cholera whether to adopt a consequential approach or deontological approach in such a scenerio. The case study illustrates dilemmas of interest of population and individual conflict. Issues of epidemic versus routine service delivery. Resource constraints and international funding context.
Voluntary or Regulated? The Trans Fat Campaign in New York City
(2012) Lisa Armstrong
This case study explores the details of how decisions are made on a specific policy intervention. Who all are the actors and stakeholders involved in the process. It shows the interaction of science, ethics, politics and ethical issues in policy making. It also highlights preventive, promotive and curative aspects of chronic illnesses.
Accountability and Social Action in Health: A Case Study on Solid Waste Management in three Local Authority Areas of Zimbabwe
(2013) Training and Research Suport Cenre (TARSC); Civic Forum on Housing (CFH)
This case study documents the experiences of community members, community based researchers and two institutions viz. TARSC and CFH in sustainable management of soild waste and strengthening the accountability of private sector and local authorities in integrated solid waste management. Besides, it highlights responsiveness of authorities vis. a. vis. social action and accountability in solid waste management and strengthening Social Awareness and Action in Health.
Community Based Monitoring and Planning in Maharashtra
(2013) Abhay Shukla; Shelly Saha; Nitin Jadhav
The case study analyzes community based monitoring of health services, one of the core strategies of NRHM to promote decentralized village and district level health planning and management. It documents and analyzes the diverse experiences of community action vis. a. vis. accountability of health services through organizing Jan Sunwais (Public Hearing).
Claiming Entitlements: The Story of Women Leaders' Struggle for the Right to Health in Uttar Pradesh, India
(2013) Abhijit Das; Jashodhara Dasgupta
The Case Study documents the evolution and role of women community level leaders from MSAM (Mahila Swasthya Adhikar Manch) in Empowering the Dalit and Backward Caste women in rural areas, by making them aware of and demanding and claiming the health related entitlements, nutrition and food security, social security, prevention of violence against women and political participation at the local levels.
Empowering Marginalized Indigenous Communities through the Monitoring of Public Health Care Servies in Guatemala
(2014) Walter Flores; Lorena Ruano
The case study shows how Participatory Action Research (PAR) can be used to involve excluded population in changing social conditions. It further shows how PAR can be used to make Health System responsive and provide better health care services in terms of availability and access to resources and reducing maltreatment.
Citizen Monitoring to Promote the Right to Health Care and Accountability
(2014) Ariel Frisancho; Maria Luisa Vasquez
This Case Study highlights the role of citizen monitoring and engagement in designing and implementation of social policies and building a transparent and accountable health care system. It shows how a strategic alliance between citizen and civil society combined with international human rights framework can be used to strenghten the capacity of rural women's agency and improve the quality of health care services at the local level.
Obesity Prevention in Children: Media Campaigns, Stigma and Ethics. (From the Book-Public Health Ethics: Cases Spanning the Globe)
(2016) Erika Blacksher; D.H. Barret et al. (Edited)
This case study raises issues of vulnerability, stigma, State coercion and intrusion in personal choices in designing media campain and strategies for prevention of obesity among children. It highlights ethical issues and challenges of health communication.
Voices from the Ground: Photovoice Research on Children's Health in the Indian Sundarbans
(2016) Institute of Health Management Research (IIHMR)
This is a photovoice research that helps to capture the voices of mothers on the direct and indirect determinants of health of their children and communicate this information within their communities and to the decision makers. Malnutrition among their children was an issue of great concern expressed by the women. Besides, mothers health during pregnancy and ill health due to Non-Communicable diseases was also highlighted during the discussions.
To Reveal or Not to Reveal Potentially Harmful Findings: A Dilemma for Public Health Research. (From the Book-Public Health Ethics: Cases Spanning the Globe)
(2016) Renaud F. Boulanger; Matthew R. Hunt; D.H. Barret et al.(Edited)
The case study illuminates ethical issues specifically in international collaborative research. It also accentuates researchers obligations and responsibilities in a health research programme and moral and ethical dilemas in dessiminating their findings in a collaborative international research. It also shows the reader how multiple roles, responsibilities and interests of researcher interact and impact the individual and communal goods and outcome of the research.
Decoding Public Health Ethics and Inequity in India: A Conditional Cash Incentive Scheme-Janani Suraksha Yojana. (From the Book-Public Health Ethics: Cases Spanning the Globe)
(2016) Divya Kanwar Bhati; D.H. Barret et al. (Edited)
The case study raises some critical issues pertaining to Janani Suraksha Yogana programme vis. a. vis. Inequities in access due to socioeconomic status, caste, culture, education etc. and quality and safety of care provided in the public health care institutions. The case study reflects the larger issues of ethics around culture, science, gender and context of programs.
The Long Road to the Sugarcane Fields
(2017) M.N. Parth
The case study shows how agrarian crisis combined with lack of subsistence due to unavailability of work in villages of Beed District has induced mass migration of workers to seek work as an agricultural labourer in the Sugarcane fields. Besides, it highlights social disruptions and economic distress it has induced in workers lives and its consequences for their health.

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