Non-health determinants of health and healthcare in Delhi.
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Date
2011-05
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Abstract
With only 0.05% of the total area of the country, Delhi is
home to 1.34% of India’s population. This creates enormous
pressure on natural and man-made resources, and generates
situations in which non-health determinants may take
precedence over the conventional determinants directly
associated with health and healthcare. With the rising advocacy
on social determinants of health, several of these factors may
rightly seem to be part of the broader territory of healthrelated
variables, and in that context, they may be designated
as conventional non-medical determinants. We discuss some
more visible domains, such as demography, migration and
floating population; the physical and biological environment;
economic determinants; social determinants; legislation and
enforcement, and underscore some less explored yet critical
domains of the determinants related to culture, governance
and politics. What emerges as a compelling reality is a wide differential in physical environment, urban planning and access to infrastructural inputs between the privileged and marginalized areas of Delhi. Inequities in physical quality of life are so gross that even a value-neutral, official narrative betrays them helplessly. We propose actionable areas to address some of the pressing non-health determinants of health and healthcare.
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Chaturvedi Sanjay, Dasgupta Rajib, Kumar Amod, Garg Suneela, Chaudhury Ranjit Roy. Non-health determinants of health and healthcare in Delhi. National Medical Journal of India. 2011 May-Jun; 24(3): 170-175.